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ELM STREET PEDIATRICS
NPI 1033124714
Specialist in Winnetka, IL

Active since July 30, 2006CLIA 14D0895698 · Waiver
716 ELM ST, SUITE 2, WINNETKA, IL 60093(847) 501-4040(847) 501-4075 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Elm Street Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELM STREET PEDIATRICS (NPI 1033124714) is a healthcare organization registered as a specialist in Winnetka, Illinois and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through November 17, 2027 and lists Susan J Nelson, Owner/md, as its authorized official.

NPPES Registry Identity

NPI1033124714
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameELM STREET PEDIATRICS
Location Address716 ELM ST, SUITE 2Winnetka, IL 60093-2556
Mailing Address716 Elm St, Suite 2Winnetka, IL 60093-2556 · (847) 501-4040 · Fax (847) 501-4075
Phone(847) 501-4040
Fax(847) 501-4075
Organization SubpartNo
Authorized OfficialSusan J NelsonOwner/md · (847) 501-4040
Enumeration DateJuly 30, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1033124714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
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.
716 ELM ST, Winnetka, IL 60093
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Group Practice 1

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0895698

Elm Street Pediatrics · Winnetka, IL
Active · expires Nov 17, 2027
CLIA Number14D0895698
Laboratory TypePhysician Office
Certificate Effective DateNovember 18, 2025
Certificate Expiration DateNovember 17, 2027
Laboratory DirectorJoshua D. Levin
Laboratory Phone(847) 501-4040
Laboratory LocationElm Street Pediatrics572 Lincoln Ave, Winnetka, IL 60093
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL A. CZARKOWSKI D.D.S.
Dentist
716 ELM ST, SUITE 8
WINNETKA, IL 60093
Cook County (847) 441-5939
WINNETKA DENTAL GROUP
Dentist (Prosthodontics)
716 ELM ST
WINNETKA, IL 60093
Cook County (847) 441-5939
MRS. LEAH TERESE PIECZYNSKI PA-C
Physician Assistant (Medical)
716 ELM ST, SUITE 2
WINNETKA, IL 60093
Cook County (847) 501-4040
DR. SUSAN J NELSON MD
Specialist
716 ELM ST
WINNETKA, IL 60093
Cook County (847) 501-4040
DR. TRISHA MIKI M.D.
Pediatrics
716 ELM ST
WINNETKA, IL 60093
Cook County (847) 501-4040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elm Street Pediatrics's NPI number?

The NPI number for Elm Street Pediatrics is 1033124714. It was assigned to this organization in the NPPES registry on July 30, 2006.

Where is Elm Street Pediatrics located?

Elm Street Pediatrics is located at 716 Elm St Suite 2, Winnetka, IL 60093. The listed phone number is (847) 501-4040.

What is Elm Street Pediatrics's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Elm Street Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0895698) is associated with this NPI, valid through November 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Elm Street Pediatrics was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.