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ADVANCED PEDIATRIC AND NEONATAL MEDICINE, SC
NPI 1093037673
Pediatrics - Neonatal-Perinatal Medicine in Bloomingdale, IL

Active since February 23, 2010
473 W ARMY TRAIL RD, SUITE 103, BLOOMINGDALE, IL 60108(630) 529-6969(630) 529-7497 Get Directions Write a Review

NPPES record last updated: February 23, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Advanced Pediatric And Neonatal Medicine, Sc NPPES

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

ADVANCED PEDIATRIC AND NEONATAL MEDICINE, SC (NPI 1093037673) is a healthcare organization registered as a neonatal-perinatal medicine in Bloomingdale, Illinois and active in the NPI registry since February 2010. The organization lists Sang J Han, Owner, as its authorized official.

NPPES Registry Identity

NPI1093037673
Entity TypeOrganization
Primary Taxonomy2080N0001X
Legal Business NameADVANCED PEDIATRIC AND NEONATAL MEDICINE, SC
Location Address473 W ARMY TRAIL RD, SUITE 103Bloomingdale, IL 60108-2674
Mailing Address473 W Army Trail Rd, Suite 103Bloomingdale, IL 60108-2674 · (630) 529-6969 · Fax (630) 529-7497
Phone(630) 529-6969
Fax(630) 529-7497
Organization SubpartNo
Authorized OfficialSang J HanOwner · (630) 529-6969
Enumeration DateFebruary 23, 2010
✔ NPI 1093037673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in IL · 036061812
Definition
A 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.
473 W ARMY TRAIL RD, Bloomingdale, IL 60108
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Other Identifiers 3

Other208000000XIL · Taxonomy
Medicaid036061812IL
Medicare UPINC42815IL

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

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Pediatric And Neonatal Medicine, Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20220224001511Non-DME Part B · Mass Immunization (Roster Biller Only)Due dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Other Providers at the Same Location NPPES 11

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

SAMANTHA ARON
Speech-Language Pathologist
473 W ARMY TRAIL RD
BLOOMINGDALE, IL 60108
Dupage County (224) 520-8562
KRISTEN KLOCKER APN
Nurse Practitioner
473 W ARMY TRAIL RD, 103
BLOOMINGDALE, IL 60108
Dupage County (630) 529-6969
DR. GLORIA JEAN CARUSO M.D.
Specialist
473 W ARMY TRAIL RD, SUITE 105
BLOOMINGDALE, IL 60108
Dupage County (630) 894-1445
WEST SUBURBAN SURGICAL ASSOCIATES, LTD.
Surgery
473 W ARMY TRAIL RD, SUITE 107
BLOOMINGDALE, IL 60108
Dupage County (630) 307-7799
RIPPLE PATEL P.T.
Physical Therapist
473 W ARMY TRAIL RD, SUITE 103
BLOOMINGDALE, IL 60108
Dupage County (630) 295-9900
SHRADHDHA PATEL FNP-BC
Nurse Practitioner (Family)
473 W ARMY TRAIL RD
BLOOMINGDALE, IL 60108
Dupage County (630) 894-8018
ADVANCED PEDIATRIC AND NEONATAL MEDICINE, SC
Pediatrics
473 W ARMY TRAIL RD, STE 103
BLOOMINGDALE, IL 60108
Dupage County (630) 529-6969
VERNON J MOORE
Pediatrics
473 W ARMY TRAIL RD, SUITE 102
BLOOMINGDALE, IL 60108
Dupage County (630) 529-6969

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 Advanced Pediatric And Neonatal Medicine, Sc's NPI number?

The NPI number for Advanced Pediatric And Neonatal Medicine, Sc is 1093037673. It was assigned to this organization in the NPPES registry on February 23, 2010.

Where is Advanced Pediatric And Neonatal Medicine, Sc located?

Advanced Pediatric And Neonatal Medicine, Sc is located at 473 W Army Trail Rd Suite 103, Bloomingdale, IL 60108. The listed phone number is (630) 529-6969.

What is Advanced Pediatric And Neonatal Medicine, Sc's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Advanced Pediatric And Neonatal Medicine, Sc enrolled in Medicare?

Yes. Advanced Pediatric And Neonatal Medicine, Sc is registered in the Medicare PECOS enrollment system.

When is Advanced Pediatric And Neonatal Medicine, Sc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Mass Immunization (Roster Biller Only)) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Advanced Pediatric And Neonatal Medicine, Sc was last updated on February 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.