Organization Active NPI

North Park Pediatrics, S. C.

  • Pediatrics Physician
  • Chicago, IL
National Provider Identifier
1881725091
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
NORTH PARK PEDIATRICS, S. C.
Practice address
5240 N Pulaski Rd Ste E
Chicago, IL 60630-1761
Phone
(773) 463-7337
Fax
(773) 478-5025
NPI assigned
Mar 8, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brian Scott Morse, MD, PHDNPI 1447312889
Title
Vice-President
Phone
(773) 463-7337

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
Pediatrics Physician 208000000X IL Primary

Addresses

Primary practice location

5240 N Pulaski Rd Ste E
Chicago, IL 60630-1761

Mailing address

5240 N Pulaski Rd Ste E
Chicago, IL 60630-1761
Phone (773) 463-7337

National Provider Directory

National Provider Directory

Locations

5240 N Pulaski Rd
Ste E
Chicago, IL 60630
Phone (773) 463-7337

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881725091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 N PULASKI RD STE E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301761",
            "telephone_number": "773-463-7337",
            "fax_number": "773-478-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 N PULASKI RD STE E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301761",
            "telephone_number": "773-463-7337",
            "fax_number": "773-478-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PARK PEDIATRICS, S. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORSE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "773-463-7337",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.