Signature Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SIGNATURE PEDIATRICS LLC

Practice address

150 N River Rd Ste 240
Des Plaines, IL 60016-1272

Phone

(847) 391-9033

Fax

(847) 391-9177

NPI assigned

Jan 23, 2020

Organization subpart

No

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

Authorized official

Name

Sree Adithya Balusu, MDNPI 1336608322

Title

Owner

Phone

(913) 904-8366

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 1

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

• Sree Balusu, MD

  • Pediatrics Physician
  • Des Plaines, IL
  • NPI 1336608322
  NPD Authorized official

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1861022410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N RIVER RD STE 240",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161272",
            "telephone_number": "847-391-9033",
            "fax_number": "847-391-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N RIVER RD STE 240",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161272",
            "telephone_number": "847-391-9033",
            "fax_number": "847-391-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "BALUSU",
        "authorized_official_first_name": "SREE",
        "authorized_official_middle_name": "ADITHYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-904-8366",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Odior Shodunola
• Kelly Short
• Enija Shrestha Shiwakoti, MPH,FNP-BC
• Samon Siddique, BCBA
• Alisa Sieg, LSW
• Alexandra Katherine Simeur, SLP
• Annette Marie Simmons, PMHNP-BC, FNP-BC
• Allen Bruce Simon, OD
• Toni J Simon, LCPC
• Inder P Singh, M.D.

• Pediatrics Physician in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.