Englewood Pediatrics SC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036-097206 Issued in IL

Legal business name

ENGLEWOOD PEDIATRICS SC

Practice address

6307 S Stewart Ave Ste 302
Chicago, IL 60621-3116

Phone

(773) 874-3005

Fax

(773) 874-3305

NPI assigned

Apr 28, 2018

Last updated

May 7, 2018By 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

Dr. Farzana Izhar, MDNPI 1801850045

Title

MD

Phone

(773) 874-3005

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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.

• Farzana Izhar, MD

  • Pediatrics Physician
  • Oak Lawn, IL
  • NPI 1801850045
  NPD Authorized official

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

{
    "created_epoch": "1524873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1871081430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6307 S STEWART AVE STE 302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213116",
            "telephone_number": "773-874-3005",
            "fax_number": "773-874-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6307 S STEWART AVE STE 302",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213116",
            "telephone_number": "773-874-3005",
            "fax_number": "773-874-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENGLEWOOD PEDIATRICS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-28",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "IZHAR",
        "authorized_official_first_name": "FARZANA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "773-874-3005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-097206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-097206",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristiana E Engler
• Englewood Community Connection Outreach
• Englewood Community Outreach
• Englewood Dental Care
• Englewood Management Health, S.C.
• Englewood RX Pharmacy, Inc.
• Englewood Satellite Senior Center
• Melissa Bates English Bailey, PSYD
• English Ridge Services, Inc.
• Amara Caimitte English

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; 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.