Organization Active NPI

Downers Grove Pediatrics LTD

  • Pediatrics Physician
  • Downers Grove, IL
National Provider Identifier
1912930769
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
042-001840 Issued in IL
Legal business name
DOWNERS GROVE PEDIATRICS LTD
Practice address
6840 S. Main Street
Suite 201
Downers Grove, IL 60516-3493
Phone
(630) 852-4551
Fax
(630) 451-0131
NPI assigned
Jul 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2009

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

Authorized official

Name
Dr. Emilio Cabana, M.D.NPI 1902838345
Title
President
Phone
(630) 852-4551

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 042-001840 IL Primary
Exclusive Provider Organization 302F00000X 042001840 IL

Addresses

Primary practice location

6840 S. Main Street
Suite 201
Downers Grove, IL 60516-3493

Mailing address

6840 S. Main Street
Suite 201
Downers Grove, IL 60516-3493
Phone (630) 852-4551

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0677903Downers Grove Pediatrics LTD6840 S Main St - Suite 201, Downers Grove, IL 60516Certificate of waiverOct 25, 2026

National Provider Directory

National Provider Directory

Locations

404 W Boughton Rd
Ste C
Bolingbrook, IL 60440
Phone (630) 852-4551

6840 Main St
Ste 201
Downers Grove, IL 60516
Phone (630) 852-4551

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": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258416000000",
    "number": "1912930769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6840 S. MAIN STREET",
            "address_2": "SUITE 201",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163493",
            "telephone_number": "630-852-4551",
            "fax_number": "630-451-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 S. MAIN STREET",
            "address_2": "SUITE 201",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605163493",
            "telephone_number": "630-852-4551",
            "fax_number": "630-451-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNERS GROVE PEDIATRICS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2009-11-17",
        "status": "A",
        "authorized_official_last_name": "CABANA",
        "authorized_official_first_name": "EMILIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-852-4551",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "042-001840",
            "primary": true
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "IL",
            "license": "042001840",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.