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LINCOLN PEDIATRIC CENTER, PC
NPI 1609836931
Pediatrics in Chicago, IL

Active since March 23, 2006CLIA 14D0994038 · Waiver
5641 N LINCOLN AVE, CHICAGO, IL 60659(773) 728-4784(773) 728-4759 Get Directions Write a Review

NPPES record last updated: October 26, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lincoln Pediatric Center, Pc NPPES

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

LINCOLN PEDIATRIC CENTER, PC (NPI 1609836931) is a healthcare organization registered as a pediatrics in Chicago, Illinois and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through January 23, 2028 and lists Joann Eviota Ruiz, Director, as its authorized official.

NPPES Registry Identity

NPI1609836931
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameLINCOLN PEDIATRIC CENTER, PC
Location Address5641 N LINCOLN AVEChicago, IL 60659-4921
Mailing Address5641 N Lincoln AveChicago, IL 60659-4921 · (773) 728-4784 · Fax (773) 728-4759
Phone(773) 728-4784
Fax(773) 728-4759
Organization SubpartNo
Authorized OfficialJoann Eviota RuizDirector · (773) 728-4784
Enumeration DateMarch 23, 2006
Last NPPES UpdateOctober 26, 2012
✔ NPI 1609836931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036085554
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.
5641 N LINCOLN AVE, Chicago, IL 60659
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Other Identifiers 1

Medicaid036085554IL

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 14D0994038

Lincoln Pediatric Center · Chicago, IL
Active · expires Jan 23, 2028
CLIA Number14D0994038
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2026
Certificate Expiration DateJanuary 23, 2028
Laboratory DirectorJoann E. Ruiz MD
Laboratory Phone(773) 728-4784
Laboratory LocationLincoln Pediatric Center5641 N Lincoln Ave, Chicago, IL 60659
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

MEGAN MASTERS APN
Nurse Practitioner (Pediatrics)
5641 N LINCOLN AVE
CHICAGO, IL 60659
Cook County (773) 728-4784
SHERR ANN BIANZON FNP
Nurse Practitioner (Family)
5641 N LINCOLN AVE
CHICAGO, IL 60659
Cook County (773) 728-4784
ANNA FUNSTEN
Nurse Practitioner (Pediatrics)
5641 N LINCOLN AVE
CHICAGO, IL 60659
Cook County (773) 728-4784
DR. JOANN EVIOTA RUIZ MD
Pediatrics
5641 N LINCOLN AVE
CHICAGO, IL 60659
Cook County (773) 728-4784

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 Lincoln Pediatric Center, PC's NPI number?

The NPI number for Lincoln Pediatric Center, PC is 1609836931. It was assigned to this organization in the NPPES registry on March 23, 2006.

Where is Lincoln Pediatric Center, PC located?

Lincoln Pediatric Center, PC is located at 5641 N Lincoln Ave, Chicago, IL 60659. The listed phone number is (773) 728-4784.

What is Lincoln Pediatric Center, PC's specialty?

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

Does Lincoln Pediatric Center, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0994038) is associated with this NPI, valid through January 23, 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 Lincoln Pediatric Center, PC was last updated on October 26, 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.