MA. OLIVIA R. SAN DIEGO, M.D., S.C.
NPI 1245580653
Pediatrics in Chicago, IL

Q: What is Ma. Olivia R. San Diego, M.D., S.C.'s NPI number?

The NPI number for Ma. Olivia R. San Diego, M.D., S.C. is 1245580653. It was assigned to this organization in the NPPES registry on September 12, 2012.

Q: What is Ma. Olivia R. San Diego, M.D., S.C.'s specialty?

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

Active since September 12, 2012

1044 N MOZART ST, SUITE 205, CHICAGO, IL 60622(773) 489-2913(773) 489-7330 Get Directions Write a Review

NPPES record last updated: September 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ma. Olivia R. San Diego, M.d., S.c. NPPES

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

MA. OLIVIA R. SAN DIEGO, M.D., S.C. (NPI 1245580653) is a healthcare organization registered as a pediatrics in Chicago, Illinois and active in the NPI registry since September 2012. The organization lists Ma. Olivia Roque San Diego, Director, as its authorized official.

NPPES Registry Identity

NPI1245580653

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameMA. OLIVIA R. SAN DIEGO, M.D., S.C.

Location Address1044 N MOZART ST, SUITE 205Chicago, IL 60622-2789

Mailing Address1044 N Mozart St, Suite 205Chicago, IL 60622-2789 · (773) 489-2913 · Fax (773) 489-7330

Phone(773) 489-2913

Fax(773) 489-7330

Organization SubpartNo

Authorized OfficialMa. Olivia Roque San DiegoDirector · (973) 653-6119

Enumeration DateSeptember 12, 2012

✔ NPI 1245580653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 036-130487

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.

1044 N MOZART ST, Chicago, IL 60622

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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

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.

OLGA L SAAVEDRA M.D. SC

Clinic/Center (Primary Care)

1044 N MOZART ST, SUITE 503
CHICAGO, IL 60622

Cook County (773) 772-9607

KRISTEN RICHTER

Nurse Practitioner

1044 N MOZART ST, SUITE 100
CHICAGO, IL 60622

Cook County (773) 292-8300

DR. AUREA D PRIMERO

Family Medicine

1044 N MOZART ST, SUITE 505
CHICAGO, IL 60622

Cook County (773) 235-6047

BRIDGET ELIZABETH TYNER SAROYA CPNP

Nurse Practitioner (Pediatrics)

1044 N MOZART ST, STE-402
CHICAGO, IL 60622

Cook County (773) 292-4501

ALFREDO P. SY M.D.

Family Medicine

1044 N MOZART ST, SUITE 203
CHICAGO, IL 60622

Cook County (773) 292-8300

CHRISTINE NOWICKI LCSW

Social Worker (Clinical)

1044 N MOZART ST
CHICAGO, IL 60622

Cook County (773) 292-8300

DR. GEORGE THOMAS AMPALLOOR MD

Pediatrics

1044 N MOZART ST, SUITE 402
CHICAGO, IL 60622

Cook County (773) 292-4501

EDMUNDO RIOJA MD

Obstetrics & Gynecology

1044 N MOZART ST
CHICAGO, IL 60622

Cook County (773) 292-2600

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 Ma. Olivia R. San Diego, M.D., S.C.'s NPI number?

The NPI number for Ma. Olivia R. San Diego, M.D., S.C. is 1245580653. It was assigned to this organization in the NPPES registry on September 12, 2012.

Where is Ma. Olivia R. San Diego, M.D., S.C. located?

Ma. Olivia R. San Diego, M.D., S.C. is located at 1044 N Mozart St Suite 205, Chicago, IL 60622. The listed phone number is (773) 489-2913.

What is Ma. Olivia R. San Diego, M.D., S.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Ma. Olivia R. San Diego, M.D., S.C. was last updated on September 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.