NPIMap

Organization Active NPI

Millennium Pediatrics LLC

  • Pediatrics Physician
  • Naperville, IL
National Provider Identifier
1992870984
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MILLENNIUM PEDIATRICS LLC
Practice address
1012 West 95TH St
Suite 4
Naperville, IL 60564
Phone
(630) 548-1100
NPI assigned
Nov 22, 2006
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
Chad C Olsen, MDNPI 1073646477
Title
Member Chief Medical Officer
Phone
(630) 548-1100

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

1012 West 95TH St
Suite 4
Naperville, IL 60564

Mailing address

1012 West 95TH St
Suite 4
Naperville, IL 60564
Phone (630) 548-1100

National Provider Directory

National Provider Directory

Locations

2712 Forgue Dr
Ste 100
Naperville, IL 60564
Phone (630) 548-1100

1012 95th St
Ste 4
Naperville, IL 60564
Phone (630) 548-1100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13306/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

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": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992870984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 WEST 95TH ST",
            "address_2": "SUITE 4",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60564",
            "telephone_number": "630-548-1100",
            "fax_number": "630-236-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 WEST 95TH ST",
            "address_2": "SUITE 4",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60564",
            "telephone_number": "630-548-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLSEN",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "630-548-1100",
        "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 Naperville, 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.