Active NPI
Palatine Pediatrics
- Primary Care Clinic/Center
- Palatine, IL
National Provider Identifier
1821370529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 036100887
- Legal business name
- PALATINE PEDIATRICS
- Practice address
- 600 N North CT Ste 115
Palatine, IL 60067-8167 - Phone
- (847) 359-5000
- Fax
- (847) 359-5395
- NPI assigned
- Sep 19, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christine Duong, M.D.
- Title
- President
- Phone
- (847) 359-5000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 036100887 | IL | Primary |
Addresses
Primary practice location
600 N North CT Ste 115
Palatine, IL 60067-8167
Mailing address
600 N North CT Ste 115
Palatine, IL 60067-8167
Phone (847) 359-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036100887 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
600 N North Ct
Ste 115
Palatine, IL 60067
Phone (847) 359-5000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Palatine, IL
- NPI 1801876057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316390400000",
"number": "1821370529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 N NORTH CT STE 115",
"city": "PALATINE",
"state": "IL",
"postal_code": "600678167",
"telephone_number": "847-359-5000",
"fax_number": "847-359-5395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N NORTH CT STE 115",
"city": "PALATINE",
"state": "IL",
"postal_code": "600678167",
"telephone_number": "847-359-5000",
"fax_number": "847-359-5395"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALATINE PEDIATRICS",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-19",
"last_updated": "2011-09-19",
"status": "A",
"authorized_official_last_name": "DUONG",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-359-5000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "IL",
"license": "036100887",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036100887",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palatine, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.