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SUBURBAN PEDIATRICS, LTD.
NPI 1316952765
Pediatrics in Morton Grove, IL

Active since July 31, 2006CLIA 14D0856955 · Waiver
9000 WAUKEGAN RD STE 240, MORTON GROVE, IL 60053(847) 296-1177(847) 296-6437 Get Directions Write a Review

NPPES record last updated: April 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2022, Dec 10, 2021, Aug 22, 2020 (3 updates tracked since 2020).

About Suburban Pediatrics, Ltd. NPPES

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

SUBURBAN PEDIATRICS, LTD. (NPI 1316952765) is a healthcare organization registered as a pediatrics in Morton Grove, Illinois and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through May 27, 2028 and lists Sandra Jean Wagner, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1316952765
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSUBURBAN PEDIATRICS, LTD.
Location Address9000 WAUKEGAN RD STE 240Morton Grove, IL 60053-2128
Mailing Address9000 Waukegan Rd Ste 240Morton Grove, IL 60053-2128 · (847) 296-1177 · Fax (847) 296-6435
Phone(847) 296-1177
Fax(847) 296-6437
Organization SubpartNo
Authorized OfficialSandra Jean WagnerOffice Manager · (847) 296-1177
Enumeration DateJuly 31, 2006
Last NPPES UpdateApril 22, 20223 updates tracked since enumeration
NPPES CertifiedApril 20, 2022
✔ NPI 1316952765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 042-000280
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.
9000 WAUKEGAN RD STE 240, Morton Grove, IL 60053
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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

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 14D0856955

Suburban Pediatrics Ltd · Morton Grove, IL
Active · expires May 27, 2028
CLIA Number14D0856955
Laboratory TypePhysician Office
Certificate Effective DateMay 28, 2026
Certificate Expiration DateMay 27, 2028
Laboratory DirectorNeil Graham
Laboratory Phone(847) 296-8127
Laboratory LocationSuburban Pediatrics Ltd9000 Waukegan Rd, Ste 240, Morton Grove, IL 60053
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 9

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

VICTORIA LYNN ARSENAULT MD
Pediatrics
9000 WAUKEGAN RD STE 240
MORTON GROVE, IL 60053
Cook County (847) 296-1177
MRS. SONIA VERGES M.D.
Pediatrics
9000 WAUKEGAN RD STE 240
MORTON GROVE, IL 60053
Cook County (847) 296-1177
DR. JOHN J JOYCE M.D.
Pediatrics
9000 WAUKEGAN RD STE 240
MORTON GROVE, IL 60053
Cook County (847) 296-1177
DR. LINDA KORACH LOPATA M.D.
Pediatrics
9000 WAUKEGAN RD STE 240
MORTON GROVE, IL 60053
Cook County (847) 296-1177
NEIL D GRAHAM M.D.
Pediatrics
9000 WAUKEGAN RD STE 240
MORTON GROVE, IL 60053
Cook County (847) 296-1177
MAHA SALMAN HAROON MD
Pediatrics
9000 WAUKEGAN RD STE 240
MORTON GROVE, IL 60053
Cook County (847) 296-1177
MARIA ARIANAS MD
Pediatrics
9000 WAUKEGAN RD STE 240
MORTON GROVE, IL 60053
Cook County (847) 296-8127
MRS. NATALYA VERNOVSKY M.D.
Pediatrics
9000 WAUKEGAN RD STE 240
MORTON GROVE, IL 60053
Cook County (847) 296-1177

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 Suburban Pediatrics, Ltd.'s NPI number?

The NPI number for Suburban Pediatrics, Ltd. is 1316952765. It was assigned to this organization in the NPPES registry on July 31, 2006.

Where is Suburban Pediatrics, Ltd. located?

Suburban Pediatrics, Ltd. is located at 9000 Waukegan Rd Ste 240, Morton Grove, IL 60053. The listed phone number is (847) 296-1177.

What is Suburban Pediatrics, Ltd.'s specialty?

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

Does Suburban Pediatrics, Ltd. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0856955) is associated with this NPI, valid through May 27, 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 Suburban Pediatrics, Ltd. was last updated on April 22, 2022. 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.