Active NPI
Associates in Pediatrics SC
- Pediatrics Physician
- Elgin, IL
National Provider Identifier
1992854525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- ASSOCIATES IN PEDIATRICS SC
- Practice address
- 1015 Summit St
Elgin, IL 60120-4362 - Phone
- (847) 742-6888
- NPI assigned
- Jan 10, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan M Wicklund
- Title
- Practice Manager
- Phone
- (847) 742-6888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
1015 Summit St
Elgin, IL 60120-4362
Mailing address
1015 Summit St
Elgin, IL 60120-4362
Phone (847) 742-6888
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0415402 | Associates in Pediatrics | Certificate of waiver | Apr 16, 2028 |
National Provider Directory
National Provider DirectoryLocations
2971 W Algonquin Rd
Ste 105
Algonquin, IL 60102
Phone (847) 854-5490
1020 E Schaumburg Rd
Streamwood, IL 60107
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- McHenry, IL
- NPI 1881893303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1992854525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 SUMMIT ST",
"city": "ELGIN",
"state": "IL",
"postal_code": "601204362",
"telephone_number": "847-742-6888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 SUMMIT ST",
"city": "ELGIN",
"state": "IL",
"postal_code": "601204362",
"telephone_number": "847-742-6888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSOCIATES IN PEDIATRICS SC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WICKLUND",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "847-742-6888"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elgin, IL
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- Associates in Psychiatry and Counseling, PC
- Association for Individual Development
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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.
- 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.