NPIMap

Organization Active NPI

Woodfield Pediatrics SC

  • Pediatric Adolescent Medicine Physician
  • Schaumburg, IL
National Provider Identifier
1881609287
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
Legal business name
WOODFIELD PEDIATRICS SC
Practice address
1345 Wiley Rd
Ste 117
Schaumburg, IL 60173
Phone
(847) 884-9440
Fax
(847) 884-8051
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Authorized official

Name
Ronald Joseph Boduch, MDNPI 1205832441
Title
Ms
Phone
(847) 884-9440

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
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X IL Primary

Addresses

Primary practice location

1345 Wiley Rd
Ste 117
Schaumburg, IL 60173

Mailing address

1345 Wiley Rd
Ste 117
Schaumburg, IL 60173
Phone (847) 884-9440

National Provider Directory

National Provider Directory

Locations

1345 Wiley Rd
Ste 117
Schaumburg, IL 60173
Phone (847) 884-9440

Practitioners & affiliated clinicians

Practitioners 8

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": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193097600000",
    "number": "1881609287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 WILEY RD",
            "address_2": "STE 117",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "60173",
            "telephone_number": "847-884-9440",
            "fax_number": "847-884-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 WILEY RD",
            "address_2": "STE 117",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "60173",
            "telephone_number": "847-884-9440",
            "fax_number": "847-884-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODFIELD PEDIATRICS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-10-23",
        "status": "A",
        "authorized_official_last_name": "BODUCH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MS",
        "authorized_official_telephone_number": "847-884-9440",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.