Organization Active NPI

Care Pediatrics LLC

  • Pediatrics Physician
  • Berwyn, IL
National Provider Identifier
1972194371
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CARE PEDIATRICS LLC
Practice address
3340 Oak Park Ave
Berwyn, IL 60402-3420
Phone
(708) 795-5502
Fax
(708) 795-5516
NPI assigned
Jan 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Authorized official

Name
Dr. Reema Mohammed, MDNPI 1255596805
Title
President
Phone
(708) 795-5502

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

3340 Oak Park Ave
Berwyn, IL 60402-3420

Mailing address

3340 Oak Park Ave Ste 201
Berwyn, IL 60402-3483
Phone (708) 795-5502

National Provider Directory

National Provider Directory

Locations

3340 Oak Park Ave
Ste 201
Berwyn, IL 60402
Phone (708) 788-6400

Practitioners & affiliated clinicians

Practitioners 1

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": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1972194371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 OAK PARK AVE STE 201",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023483",
            "telephone_number": "708-795-5502",
            "fax_number": "708-795-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 OAK PARK AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023420",
            "telephone_number": "708-795-5502",
            "fax_number": "708-795-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "REEMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-795-5502",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

Other providers in Berwyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.