Pediatrics of Woodridge

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

PEDIATRICS OF WOODRIDGE

Practice address

7451 Woodward Ave
Ste 108
Woodridge, IL 60517-2665

Phone

(630) 724-0357

NPI assigned

May 30, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rouba BarakatNPI 1255375887

Title

Owner

Phone

(630) 724-0357

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rouba Barakat, MD

  • Pediatrics Physician
  • Woodridge, IL
  • NPI 1255375887
  NPD (past) Authorized official
• Kezia Philips, APN-DNP

  • Nurse Practitioner
  • Addison, IL
  • NPI 1659854198
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811198385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7451 WOODWARD AVE",
            "address_2": "STE 108",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172665",
            "telephone_number": "630-724-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7451 WOODWARD AVE",
            "address_2": "STE 108",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172665",
            "telephone_number": "630-724-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRICS OF WOODRIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARAKAT",
        "authorized_official_first_name": "ROUBA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-724-0357"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Subhadra B Patel, PHARMACIST
• Umang S Patel, M.D
• Vijaykumar C Patel,, M.D
• Elizabeth A Paterson, ATC
• Ann Pebelske, APN CNS
• Perryton Dialysis LLC (Rutgers Park Dialysis)
• Evagelia Peterhansen, OTRL
• Rachel H Peterson, M.S.
• Taylor Marie Philipp, DPT
• Lemuel Bryan Phipps, PHARMD

• Pediatrics Physician in Woodridge, IL
• Providers in Woodridge, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.