Pediatric Healthy Hearts, S.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

036124580 Issued in IL

Legal business name

PEDIATRIC HEALTHY HEARTS, S.C.

Practice address

9222 S 53Rd Ave
Oak Lawn, IL 60453-1687

Phone

(708) 745-3499

Fax

(708) 745-3398

NPI assigned

Jan 13, 2017

Organization subpart

No

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

Authorized official

Name

Nida Yousef, MD

Title

Director

Phone

(708) 745-3499

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735257600000",
    "number": "1982140042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 W 95TH ST STE 206",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532574",
            "telephone_number": "708-745-3499",
            "fax_number": "708-745-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9222 S 53RD AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604531687",
            "telephone_number": "708-745-3499",
            "fax_number": "708-745-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC HEALTHY HEARTS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-13",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A",
        "authorized_official_last_name": "YOUSEF",
        "authorized_official_first_name": "NIDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-745-3499",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036124580",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Peca, PHARM D.
• Melissa Ann Pecano-Jones, LPC
• Neelesh Sai Peddireddy, MD
• Pediatric Cancer Institute
• Pediatric Dental Specialists
• Pediatric Subspecialty and Hospitalist Association LLC
• Pediatrics on Demand Urgent Care
• Pediatrics on Demand, Inc.
• Ari S Peikes, MD
• Mark H Pelech, LSW CADC

• Specialist in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2024; 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.