South Park Pediatrics, Inc
Pediatrics
South Park Pediatrics, Inc is a South Holland, Illinois based Pediatric center with medical specialization in
General Pediatrics. South Park Pediatrics, Inc is doing business as
South Park Pediatrics.
It is located at
15821 South Park, South Holland, Illinois - 60473-1506. They can be contacted on phone at
708-225-0200 and fax number 708-225-0202.
NPI number (Unique professional ID) for South Park Pediatrics, Inc is
1346424876 which was assigned by NPPES on 19 Dec, 2007 and it was last updated on 21 Dec, 2021.
South Park Pediatrics, Inc license number is
036-168196 for Pediatrics (208000000X) in Illinois.
South Park Pediatrics, Inc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
South Park Pediatrics, Inc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | South Park Pediatrics, Inc |
|---|
| Other Name : | South Park Pediatrics |
|---|
Business Address:
South Park Pediatrics, Inc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 15821 South Park
South Holland, IL, 60473-1506
United States |
|---|
| Phone Number : | 708-225-0200 |
|---|
| Fax Number : | 708-225-0202 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1346424876 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 19 Dec, 2007 |
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| Last Updated On : | 21 Dec, 2021 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Wendell Wheeler |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | CEO |
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| Phone Number : | 708-225-0200 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for South Park Pediatrics, Inc are as mentioned. Primary taxonomy code for South Park Pediatrics, Inc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 036-168196 | IL |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
1052 W 111TH ST,
CHICAGO, IL, 60643-4635
United States | CHICAGO, IL | 773-779-7337 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
FHIR
(FHIR URL) | https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
| No affiliation | DIRECT
Direct
|
| 15821 SOUTH PARK,
SOUTH HOLLAND, IL, 60473-1506
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 15821 South Park
South Holland, IL, 60473-1506
United States |
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| Phone Number : | 708-225-0200 |
|---|
| Fax Number : | 708-225-0202 |
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Business Location:
Patients can refer following map for directions to
South Park Pediatrics, Inc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.