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PEDIATRIC MEDICAL SERVICES
NPI 1053535591
Pediatrics in Skokie, IL

Active since April 13, 2007CLIA 14D0414081 · Waiver
9669 KENTON AVE, STE 403, SKOKIE, IL 60076(847) 674-4730(847) 674-4732 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Pediatric Medical Services NPPES

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

PEDIATRIC MEDICAL SERVICES (NPI 1053535591) is a healthcare organization registered as a pediatrics in Skokie, Illinois and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through September 28, 2026 and lists Suna Yi, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1053535591
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NamePEDIATRIC MEDICAL SERVICES
Location Address9669 KENTON AVE, STE 403Skokie, IL 60076-1266
Mailing Address9669 Kenton Ave, Ste 403Skokie, IL 60076-1266 · (847) 674-4730 · Fax (847) 674-4732
Phone(847) 674-4730
Fax(847) 674-4732
Organization SubpartNo
Authorized OfficialSuna YiOffice Manager · (847) 674-4730
Enumeration DateApril 13, 2007
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
✔ NPI 1053535591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician 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.
9669 KENTON AVE, Skokie, IL 60076
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Other Identifiers 2

Other1780644120IL · Bernard Hankin, Npi#
Other1255321873IL · Sunbum Kim, Npi#

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 14D0414081

Pediatric Medical Services Sc · Skokie, IL
Active · expires Sep 28, 2026
CLIA Number14D0414081
Laboratory TypePhysician Office
Certificate Effective DateSeptember 29, 2024
Certificate Expiration DateSeptember 28, 2026
Laboratory DirectorSun Bum Kim, MD
Laboratory Phone(847) 674-4730
Laboratory LocationPediatric Medical Services Sc9669 Kenton Ave Suite 403, Skokie, IL 60076
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

ANTOINETTE V AHR
Nurse Practitioner
9669 KENTON AVE, SUITE 206
SKOKIE, IL 60076
Cook County (847) 676-1333
DANIEL A ROSENTHAL MD
Internal Medicine
9669 KENTON AVE, SUITE 203
SKOKIE, IL 60076
Cook County (847) 677-0212
JULIA LITVIN M.D.
Specialist
9669 KENTON AVE, SUITE 510
SKOKIE, IL 60076
Cook County (847) 677-1333
BERNARD H SHULMAN MD, PC
Psychologist
9669 KENTON AVE, SUITE 209
SKOKIE, IL 60076
Cook County (847) 679-8000
MRS. MICHELE LYNN WINIARZ PA-C
Physician Assistant (Medical)
9669 KENTON AVE, SUITE 300
SKOKIE, IL 60076
Cook County (847) 677-4205
ALAN J. CAMIN, M.D.S.C.
Family Medicine
9669 KENTON AVE, STE. 602
SKOKIE, IL 60076
Cook County (847) 677-0550
DR. DARRYL A STERN M.D.
Internal Medicine
9669 KENTON AVE, STE 203
SKOKIE, IL 60076
Cook County (847) 677-0212
ALAN BUCHMAN MD
Internal Medicine (Gastroenterology)
9669 KENTON AVE, SUITE 306
SKOKIE, IL 60076
Cook County (847) 674-7501

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 Pediatric Medical Services's NPI number?

The NPI number for Pediatric Medical Services is 1053535591. It was assigned to this organization in the NPPES registry on April 13, 2007.

Where is Pediatric Medical Services located?

Pediatric Medical Services is located at 9669 Kenton Ave Ste 403, Skokie, IL 60076. The listed phone number is (847) 674-4730.

What is Pediatric Medical Services's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Pediatric Medical Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0414081) is associated with this NPI, valid through September 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatric Medical Services was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.