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PEDICLINIC
NPI 1093747636
Pediatrics in Bourbonnais, IL

Active since July 06, 2006CLIA 14D0918525 · Waiver
461 BROWN BLVD, BOURBONNAIS, IL 60914(815) 933-5700(815) 933-8011 Get Directions Write a Review

NPPES record last updated: April 30, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediclinic NPPES

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

PEDICLINIC (NPI 1093747636) is a healthcare organization registered as a pediatrics in Bourbonnais, Illinois and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through February 29, 2028 and lists Doreena Mcbride, President, as its authorized official.

NPPES Registry Identity

NPI1093747636
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDOREENA M MCBRIDE MD PC
Location Address461 BROWN BLVDBourbonnais, IL 60914-2322
Mailing Address461 Brown BlvdBourbonnais, IL 60914-2322 · (815) 933-5700 · Fax (815) 933-8011
Phone(815) 933-5700
Fax(815) 933-8011
Organization SubpartNo
Authorized OfficialDoreena McbridePresident · (815) 933-5700
Enumeration DateJuly 6, 2006
Last NPPES UpdateApril 30, 2015
✔ NPI 1093747636 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.
461 BROWN BLVD, Bourbonnais, IL 60914
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Other Names 1

Doing Business AsPediclinic

Other Identifiers 2

Other4604555IL · Bcbs
Other14D0918525IL · Clia

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 14D0918525

Pediclinic PC · Bourbonnais, IL
Active · expires Feb 29, 2028
CLIA Number14D0918525
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorDoreena M. Mcbride MD
Laboratory Phone(815) 933-5700
Laboratory LocationPediclinic PC461 Brown Blvd, Bourbonnais, IL 60914
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 6

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

BROWN BOULEVARD SURGICAL SUITES
Clinic/Center (Pain)
461 BROWN BLVD, SUITE A
BOURBONNAIS, IL 60914
Kankakee County (815) 932-7242
UNIVERSAL PAIN MANAGEMENT INSTITUTE LTD
Pain Medicine (Pain Medicine)
461 BROWN BLVD, SUITE A
BOURBONNAIS, IL 60914
Kankakee County (815) 932-7242
DOREENA M MCBRIDE MD
Pediatrics
461 BROWN BLVD
BOURBONNAIS, IL 60914
Kankakee County (815) 933-5700
DR. DONALD E ROLAND MD
Anesthesiology (Pain Medicine)
461 BROWN BLVD
BOURBONNAIS, IL 60914
Kankakee County (815) 932-7242
GIOVANNI SALERNO MD PC
Surgery
461 BROWN BLVD
BOURBONNAIS, IL 60914
Kankakee County (815) 933-7900
DR. GIOVANNI M SALERNO MD
Surgery
461 BROWN BLVD
BOURBONNAIS, IL 60914
Kankakee County (715) 933-7900

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 Doreena M Mcbride MD PC's NPI number?

The NPI number for Doreena M Mcbride MD PC is 1093747636. It was assigned to this organization in the NPPES registry on July 6, 2006. The provider is doing business as Pediclinic.

Where is Doreena M Mcbride MD PC located?

Doreena M Mcbride MD PC is located at 461 Brown Blvd, Bourbonnais, IL 60914. The listed phone number is (815) 933-5700.

What is Doreena M Mcbride MD PC's specialty?

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

Does Doreena M Mcbride MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0918525) is associated with this NPI, valid through February 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Doreena M Mcbride MD PC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Doreena M Mcbride MD PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Doreena M Mcbride MD PC was last updated on April 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.