LURIE CHILDRENS PRIMARY CARE LLC
NPI 1134590995
Pediatrics in Chicago, IL

Q: What is Lurie Childrens Primary Care LLC's NPI number?

The NPI number for Lurie Childrens Primary Care LLC is 1134590995. It was assigned to this organization in the NPPES registry on October 19, 2015.

Q: What is Lurie Childrens Primary Care LLC's specialty?

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

Active since October 19, 2015CLIA 14D2024696 · Waiver

1460 N HALSTED ST, SUITE 402, CHICAGO, IL 60642(312) 279-8900 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 28, 2021, Sep 10, 2021 (2 updates tracked since 2021).

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About Lurie Childrens Primary Care Llc NPPES

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

LURIE CHILDRENS PRIMARY CARE LLC (NPI 1134590995) is a healthcare organization registered as a pediatrics in Chicago, Illinois and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through May 29, 2028, maintains 4 additional practice locations, and lists Cheryl Withers, Director, as its authorized official.

NPPES Registry Identity

NPI1134590995

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameLURIE CHILDRENS PRIMARY CARE LLC

Location Address1460 N HALSTED ST, SUITE 402Chicago, IL 60642-2605

Mailing Address225 E Chicago Ave # 118Chicago, IL 60611-2991 · (312) 227-6415 · Fax (312) 227-9409

Phone(312) 279-8900

Organization SubpartYesParent: Childrens Hospital Of Chicago

Authorized OfficialCheryl WithersDirector · (312) 227-6415

Enumeration DateOctober 19, 2015

Last NPPES UpdateSeptember 28, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 10, 2021

✔ NPI 1134590995 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.

1460 N HALSTED ST, Chicago, IL 60642

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Secondary Practice Locations 4

Location 12601 Compass Rd Ste 120Glenview, IL 60026-8077 · Phone (312) 227-2800 · Fax (312) 227-2850

Location 23722 W Touhy AveSkokie, IL 60076 · Phone (312) 227-5600 · Fax (312) 227-9580

Location 31950 Dempster StEvanston, IL 60202-1016 · Phone (847) 869-4300 · Fax (847) 869-4330

Location 4225 E Chicago AveChicago, IL 60611-2991 · Phone (312) 227-2800

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 14D2024696

Lurie Childrens Primary Care Llc-Tcp · Glenview, IL

Active · expires May 29, 2028

CLIA Number14D2024696

Laboratory TypePhysician Office

Certificate Effective DateMay 30, 2026

Certificate Expiration DateMay 29, 2028

Laboratory DirectorKenneth Polin

Laboratory Phone(847) 998-8595

Laboratory LocationLurie Childrens Primary Care Llc-Tcp2601 Compass Rd - Ste 120, Glenview, IL 60026

CLIA data matches this NPI record on: Address Name

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.

PAMELA WARNICK M.D.

Internal Medicine (Infectious Disease)

1460 N HALSTED ST, SUITE 401
CHICAGO, IL 60642

Cook County (773) 880-0320

JULIE SELIG M.D.

Pediatrics

1460 N HALSTED ST, SUITE 402
CHICAGO, IL 60642

Cook County (312) 279-8900

NILAM K. AMIN, D.O., S.C.

Dermatology

1460 N HALSTED ST, SUITE #505
CHICAGO, IL 60642

Cook County (312) 266-6462

KRISTIN ROSE LUCENTE APN-CNP

Nurse Practitioner

1460 N HALSTED ST
CHICAGO, IL 60642

Cook County (847) 618-3590

DANIELLE SMITH CHERIAN M.D.

Pediatrics

1460 N HALSTED ST, SUITE 402
CHICAGO, IL 60642

Cook County (312) 279-8900

CAITRIN STANDRING PA-C

Physician Assistant

1460 N HALSTED ST, SUITE 505
CHICAGO, IL 60642

Cook County (312) 266-6462

STEVEN M NWE D.O.

Dermatology

1460 N HALSTED ST, ROOM 504
CHICAGO, IL 60642

Cook County (312) 694-1097

NORTHWESTERN MEMORIAL PHYSICIANS GROUP

Non-Pharmacy Dispensing Site

1460 N HALSTED ST, SUITE 502
CHICAGO, IL 60642

Cook County (312) 926-7028

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 Lurie Childrens Primary Care LLC's NPI number?

The NPI number for Lurie Childrens Primary Care LLC is 1134590995. It was assigned to this organization in the NPPES registry on October 19, 2015.

Where is Lurie Childrens Primary Care LLC located?

Lurie Childrens Primary Care LLC is located at 1460 N Halsted St Suite 402, Chicago, IL 60642. The listed phone number is (312) 279-8900.

What is Lurie Childrens Primary Care LLC's specialty?

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

Does Lurie Childrens Primary Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2024696) is associated with this NPI, valid through May 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lurie Childrens Primary Care LLC was last updated on September 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.