SOUTH PARK PEDIATRICS, INC
NPI 1346424876
Pediatrics in South Holland, IL

Q: What is South Park Pediatrics, Inc's NPI number?

The NPI number for South Park Pediatrics, Inc is 1346424876. It was assigned to this organization in the NPPES registry on December 19, 2007. The provider is doing business as South Park Pediatrics.

Q: What is South Park Pediatrics, Inc's specialty?

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

Active since December 19, 2007

15821 SOUTH PARK, SOUTH HOLLAND, IL 60473(708) 225-0200(708) 225-0202 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About South Park Pediatrics, Inc NPPES

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

SOUTH PARK PEDIATRICS, INC (NPI 1346424876) is a healthcare organization registered as a pediatrics in South Holland, Illinois and active in the NPI registry since December 2007. The organization maintains a secondary practice location in Chicago and lists Wendell Wheeler, Ceo, as its authorized official.

NPPES Registry Identity

NPI1346424876

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameSOUTH PARK PEDIATRICS, INC

Location Address15821 SOUTH PARKSouth Holland, IL 60473-1506

Mailing Address15821 South ParkSouth Holland, IL 60473-1506 · (708) 225-0200 · Fax (708) 225-0202

Phone(708) 225-0200

Fax(708) 225-0202

Organization SubpartNo

Authorized OfficialWendell WheelerCeo · (708) 225-0200

Enumeration DateDecember 19, 2007

Last NPPES UpdateDecember 21, 2021

NPPES CertifiedDecember 21, 2021

✔ NPI 1346424876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 036-168196

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.

15821 SOUTH PARK, South Holland, IL 60473

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Other Names 2

Doing Business AsSouth Park Pediatrics, Inc

Doing Business AsSouth Park Pediatrics

Secondary Practice Location 1

Location 11052 W 111th StChicago, IL 60643-4635 · Phone (773) 779-7337 · Fax (773) 779-2229

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

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 South Park Pediatrics, Inc's NPI number?

The NPI number for South Park Pediatrics, Inc is 1346424876. It was assigned to this organization in the NPPES registry on December 19, 2007. The provider is doing business as South Park Pediatrics.

Where is South Park Pediatrics, Inc located?

South Park Pediatrics, Inc is located at 15821 South Park, South Holland, IL 60473. The listed phone number is (708) 225-0200.

What is South Park Pediatrics, Inc'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 South Park Pediatrics, Inc was last updated on December 21, 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.