Pediatric Wellness Center

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036100053 Issued in IL

Legal business name

PEDIATRIC WELLNESS CENTER

Practice address

15900 W 127TH St
Suite 261
Lemont, IL 60439-2910

Phone

(630) 243-7683

NPI assigned

Dec 13, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Faith S Myers, D.O.NPI 1326128513

Title

Owner

Phone

(630) 243-7683

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Faith Suzanne Myers, D.O.

  • Pediatrics Physician
  • Lemont, IL
  • NPI 1326128513
  NPD (past) Authorized official
• Payal Shah Patel, D.O.

  • Pediatrics Physician
  • Lemont, IL
  • NPI 1497918361
  NPD (past)

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1811265226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15900 W 127TH ST",
            "address_2": "SUITE 261",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604392910",
            "telephone_number": "630-243-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 W 127TH ST",
            "address_2": "SUITE 261",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604392910",
            "telephone_number": "630-243-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "FAITH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-243-7683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036100053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Abada Paragas, PT
• Kathleen Ellen Parise, M.S.
• Richard M. Parker, D.D.S.
• David Timothy Pasciak, RPH
• Payal Shah Patel, D.O.
• Leanne Pender, CCC-SLP
• Trevor John Pfaendtner, D.O
• Taylor Pietras
• PK Chandarana MD LTD
• Pmi Services, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.