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PEDIATRIC CARE ASSOCIATES SC NPI 1982721528


NPI Information

NPI: 1982721528
Provider Name: PEDIATRIC CARE ASSOCIATES, SC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 14D0417292

Address:
2500 W HIGGINS RD
SUITE 670
HOFFMAN ESTATES, IL
ZIP 60195
Phone: (847) 884-7710
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PEDIATRIC CARE ASSOCIATES, SC is a specialist in Hoffman Estates, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PEDIATRIC CARE ASSOCIATES, SC NPI is 1982721528. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2500 W HIGGINS RD
SUITE 670
HOFFMAN ESTATES, IL
ZIP 60195-220
Phone: (847) 884-7710
Fax: (847) 884-8094

The provider's authorized official is Robert A Boton .
The authorized official title is President and has the following contact phone number (847) 884-7710.

The CLIA number assigned to this NPI record is 14D0417292 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
121609488OTHERILLINOISBCBS PROVIDER ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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