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MUNDELEIN PEDIATRICS, S.C.
NPI 1336294800
Pediatrics - Adolescent Medicine in Grayslake, IL

Active since January 24, 2007
1170 E BELVIDERE RD, SUITE 106, GRAYSLAKE, IL 60030(847) 548-7337(847) 548-9909 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mundelein Pediatrics, S.c. NPPES

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

MUNDELEIN PEDIATRICS, S.C. (NPI 1336294800) is a healthcare organization registered as an adolescent medicine in Grayslake, Illinois and active in the NPI registry since January 2007. The organization lists Robert G. Malloy, Vice President, as its authorized official.

NPPES Registry Identity

NPI1336294800
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameMUNDELEIN PEDIATRICS, S.C.
Location Address1170 E BELVIDERE RD, SUITE 106Grayslake, IL 60030-2061
Mailing Address1170 E Belvidere Rd, Suite 106Grayslake, IL 60030-2061 · (847) 548-7337 · Fax (847) 548-9909
Phone(847) 548-7337
Fax(847) 548-9909
Organization SubpartNo
Authorized OfficialRobert G. MalloyVice President · (847) 548-7337
Enumeration DateJanuary 24, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1336294800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
1170 E BELVIDERE RD, Grayslake, IL 60030
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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 for Provider-Performed Microscopy Procedures (PPMP) 14D0673568

Mundelein Pediatrics Sc · Grayslake, IL
Expired · Jul 31, 2026
CLIA Number14D0673568
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2024
Certificate Expiration DateJuly 31, 2026
Laboratory DirectorKathy A. Seskiewicz
Laboratory Phone(847) 548-7337
Laboratory LocationMundelein Pediatrics Sc1170 East Belvidere Road #106, Grayslake, IL 60030
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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.

MRS. KARIN KALLWITZ MD
Pediatrics (Adolescent Medicine)
1170 E BELVIDERE RD, STE 106
GRAYSLAKE, IL 60030
Lake County (847) 548-7337
DR. WILLIAM R. STORINO DPM
Podiatrist (Primary Podiatric Medicine)
1170 E BELVIDERE RD, STE 202
GRAYSLAKE, IL 60030
Lake County (847) 566-8580
NORTH SHORE CONSULTANTS IN OB GYN SC
Obstetrics & Gynecology (Obstetrics)
1170 E BELVIDERE RD, SUITE 102
GRAYSLAKE, IL 60030
Lake County (847) 548-9999
CHRISTINE LOUISE JAKUBEC M.A., CCC-A
Audiologist
1170 E BELVIDERE RD, SUITE 204
GRAYSLAKE, IL 60030
Lake County (847) 231-5500
MEADOWS MEDICAL GROUP, LTD
Family Medicine
1170 E BELVIDERE RD, SUITE 209
GRAYSLAKE, IL 60030
Lake County (847) 231-6026
WAJAHAT MIRZA MD
Internal Medicine (Cardiovascular Disease)
1170 E BELVIDERE RD, SUITE 212
GRAYSLAKE, IL 60030
Lake County (847) 543-6814
PARAG THAKKAR MD
Internal Medicine
1170 E BELVIDERE RD, SUITE 210
GRAYSLAKE, IL 60030
Lake County (847) 548-9186
CLAYMORE MEDICAL GROUP SC
Internal Medicine
1170 E BELVIDERE RD, SUITE 207
GRAYSLAKE, IL 60030
Lake County (847) 223-4446

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 Mundelein Pediatrics, S.C.'s NPI number?

The NPI number for Mundelein Pediatrics, S.C. is 1336294800. It was assigned to this organization in the NPPES registry on January 24, 2007.

Where is Mundelein Pediatrics, S.C. located?

Mundelein Pediatrics, S.C. is located at 1170 E Belvidere Rd Suite 106, Grayslake, IL 60030. The listed phone number is (847) 548-7337.

What is Mundelein Pediatrics, S.C.'s specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Mundelein Pediatrics, S.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.