PEDIATRIC AND ADOLESCENT HEALTHY LIFESTYLE CENTER, LLC
NPI 1649518010
Pediatrics in Downers Grove, IL

Q: What is Pediatric And Adolescent Healthy Lifestyle Center, LLC's specialty?

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

Active since January 20, 2013CLIA 14D2089553 · Waiver

2525 OGDEN AVE, DOWNERS GROVE, IL 60515(847) 207-1121(630) 310-8614 Get Directions Write a Review

NPPES record last updated: January 28, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Pediatric And Adolescent Healthy Lifestyle Center, Llc NPPES

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

PEDIATRIC AND ADOLESCENT HEALTHY LIFESTYLE CENTER, LLC (NPI 1649518010) is a healthcare organization registered as a pediatrics in Downers Grove, Illinois and active in the NPI registry since January 2013. The organization holds a CLIA Waiver certificate valid through January 4, 2027 and lists Morounkeji Akin-olugbemi, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1649518010

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NamePEDIATRIC AND ADOLESCENT HEALTHY LIFESTYLE CENTER, LLC

Location Address2525 OGDEN AVEDowners Grove, IL 60515-1708

Mailing Address2525 Ogden AveDowners Grove, IL 60515-1708 · (847) 207-1121 · Fax (630) 310-8614

Phone(847) 207-1121

Fax(630) 310-8614

Organization SubpartNo

Authorized OfficialMorounkeji Akin-olugbemiMedical Director · (847) 207-1121

Enumeration DateJanuary 20, 2013

Last NPPES UpdateJanuary 28, 2013

✔ NPI 1649518010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IL · 036-096730

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.

2525 OGDEN AVE, Downers Grove, IL 60515

Open in Google Maps ↗

Other Identifiers 2

Medicare UPINI29194IL

Medicare PINK17395IL

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 14D2089553

Pediatric And Adolescent Healthy Lifestyle Ctr · Downers Grove, IL

Active · expires Jan 4, 2027

CLIA Number14D2089553

Laboratory TypePhysician Office

Certificate Effective DateJanuary 5, 2025

Certificate Expiration DateJanuary 4, 2027

Laboratory DirectorMorounkeji E. Akin-Olugbemi

Laboratory Phone(630) 929-3009

Laboratory LocationPediatric And Adolescent Healthy Lifestyle Ctr2525 Ogden Ave, Downers Grove, IL 60515

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

DR. MOROUNKEJI E AKIN-OLUGBEMI M.D, MPH

Pediatrics

2525 OGDEN AVE
DOWNERS GROVE, IL 60515

Dupage County (847) 207-1121

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 Pediatric And Adolescent Healthy Lifestyle Center, LLC's NPI number?

The NPI number for Pediatric And Adolescent Healthy Lifestyle Center, LLC is 1649518010. It was assigned to this organization in the NPPES registry on January 20, 2013.

Where is Pediatric And Adolescent Healthy Lifestyle Center, LLC located?

Pediatric And Adolescent Healthy Lifestyle Center, LLC is located at 2525 Ogden Ave, Downers Grove, IL 60515. The listed phone number is (847) 207-1121.

What is Pediatric And Adolescent Healthy Lifestyle Center, LLC's specialty?

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

Does Pediatric And Adolescent Healthy Lifestyle Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2089553) is associated with this NPI, valid through January 4, 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 Pediatric And Adolescent Healthy Lifestyle Center, LLC was last updated on January 28, 2013. 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.