Organization Active NPI

Palatine Pediatrics

  • Primary Care Clinic/Center
  • Palatine, IL
National Provider Identifier
1821370529
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
036100887 Issued in IL
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

Updated by the provider on Sep 19, 2011

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

Authorized official

Name
Dr. Christine Duong, M.D.NPI 1801876057
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036100887MedicaidIL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.