CENTER FOR AUTONOMIC MEDICINE IN PEDIATRICS NPI 1023294519

Pediatrics (Neonatal-Perinatal Medicine) in Chicago, IL

NPI 1023294519 Organization Pediatrics Neonatal-Perinatal Medicine

About CENTER FOR AUTONOMIC MEDICINE IN PEDIATRICS

Center For Autonomic Medicine In Pediatrics is a pediatrician established in Chicago, Illinois specializing in pediatrics (neonatal-perinatal medicine) . The NPI number of Center For Autonomic Medicine In Pediatrics is 1023294519 and was assigned on January 2008. The practitioner's primary taxonomy code is 2080N0001X. The provider is registered as an organization and their NPI record was last updated 13 years ago. Center For Autonomic Medicine In Pediatrics operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Lisa Lenz (Director)

A pediatrician like Center For Autonomic Medicine In Pediatrics is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

NPI

1023294519

Provider NameCENTER FOR AUTONOMIC MEDICINE IN PEDIATRICS
Provider Location Address2300 N CHILDRENS PLZ # 64 CHICAGO, IL 60614
Provider Mailing Address2300 N CHILDRENS PLZ # 64 CHICAGO, IL 60614
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Enumeration Date01-14-2008
Last Update Date01-14-2008


Primary Taxonomy

Taxonomy Code2080N0001X
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
SpecializationNeonatal-Perinatal Medicine
Taxonomy DescriptionA pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Business Address

CENTER FOR AUTONOMIC MEDICINE IN PEDIATRICS
2300 N CHILDRENS PLZ # 64
CHICAGO, IL
ZIP 60614
Phone: (312) 573-4515
Fax: (312) 573-8405

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Mailing Address

CENTER FOR AUTONOMIC MEDICINE IN PEDIATRICS
2300 N CHILDRENS PLZ # 64
CHICAGO, IL
ZIP 60614
Phone: (312) 573-4515
Fax: (312) 573-8405



Authorized Official

Authorized Official Name LISA LENZ
Authorized Official TitleDIRECTOR
Authorized Official Phone(312) 573-4515

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.