Northside-Suburban Pediatric Associates, S.C.

LBN: Northside-Suburban Pediatric Associates, S.C.
Northside-Suburban Pediatric Associates, S.C. is an health care organization with primary practice located at 4801 W Peterson Ave Ste 506, Chicago IL 60646-5795. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Northside-Suburban Pediatric Associates, S.C. can be contacted via phone (773) 777-5437, or through Deutsch, Mary via phone (773) 777-5437.

Contact Information

Primary practice address
4801 W Peterson Ave Ste 506 Chicago IL 60646-5795
Phone: (773) 777-5437
Fax: (773) 777-7567
Website:
Map and Directions
Authorized official contact:
Name: Deutsch, Mary
Phone: (773) 777-5437

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Illinois

Profile Details

NPI number 1902802770
LBN Legal business name Northside-Suburban Pediatric Associates, S.C.
DBA Doing business as
Authorized official Deutsch, Mary
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1902802770 NPPES
Illinois Other 01615555 BLUE SHIELD PROVIDER #

Popular Providers