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CHICAGO PEDIATRIC CLINIC I
NPI 1366631137
Clinic/Center in Chicago, IL

Active since October 17, 2007CLIA 14D0993489 · Waiver
1916 W IRVING PARK ROAD, CHICAGO, IL 60613(773) 477-4900(773) 477-4478 Get Directions Write a Review

NPPES record last updated: October 17, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chicago Pediatric Clinic I NPPES

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

CHICAGO PEDIATRIC CLINIC I (NPI 1366631137) is a healthcare organization registered as a clinic/center in Chicago, Illinois and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through November 14, 2027 and lists Darlene Egues, President, as its authorized official.

NPPES Registry Identity

NPI1366631137
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCHICAGO PEDIATRIC CLINIC I
Location Address1916 W IRVING PARK ROADChicago, IL 60613
Mailing Address1916 W Irving Park RoadChicago, IL 60613 · (773) 477-4900 · Fax (773) 477-4478
Phone(773) 477-4900
Fax(773) 477-4478
Organization SubpartNo
Authorized OfficialDarlene EguesPresident · (773) 960-2555
Enumeration DateOctober 17, 2007
✔ NPI 1366631137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1916 W IRVING PARK ROAD, Chicago, IL 60613
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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 14D0993489

Chicago Pediatric Clinic Corporation · Chicago, IL
Active · expires Nov 14, 2027
CLIA Number14D0993489
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 15, 2025
Certificate Expiration DateNovember 14, 2027
Laboratory DirectorDarlene Egues
Laboratory Phone(773) 477-4900
Laboratory LocationChicago Pediatric Clinic Corporation1916 W Irving Park Rd, Chicago, IL 60613
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Chicago Pediatric Clinic I's NPI number?

The NPI number for Chicago Pediatric Clinic I is 1366631137. It was assigned to this organization in the NPPES registry on October 17, 2007.

Where is Chicago Pediatric Clinic I located?

Chicago Pediatric Clinic I is located at 1916 W Irving Park Road, Chicago, IL 60613. The listed phone number is (773) 477-4900.

What is Chicago Pediatric Clinic I's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Chicago Pediatric Clinic I hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0993489) is associated with this NPI, valid through November 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Chicago Pediatric Clinic I was last updated on October 17, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.