SOUTH PARK PEDIATRICS
NPI 1649638685
Clinic/Center - Medical Specialty in South Holland, IL

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

The NPI number for South Park Pediatrics, Inc is 1649638685. It was assigned to this organization in the NPPES registry on February 5, 2016. The provider is also known as South Park Pediatrics.

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

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Active since February 05, 2016

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

NPPES record last updated: February 5, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About South Park Pediatrics NPPES

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

SOUTH PARK PEDIATRICS (NPI 1649638685) is a healthcare organization registered as a medical specialty in South Holland, Illinois and active in the NPI registry since February 2016. The organization lists Wendell A Wheeler, President, as its authorized official.

NPPES Registry Identity

NPI1649638685

Entity TypeOrganization

Primary Taxonomy261QM2500X

Legal Business NameSOUTH PARK PEDIATRICS, INC

Location Address15821 S PARK AVESouth Holland, IL 60473-1506

Mailing Address15821 S Park AveSouth Holland, IL 60473-1506 · (708) 225-0200 · Fax (708) 225-0202

Phone(708) 225-0200

Fax(708) 225-0202

Organization SubpartNo

Authorized OfficialWendell A WheelerPresident · (708) 225-0200

Enumeration DateFebruary 5, 2016

✔ NPI 1649638685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM2500X

License✔ Licensed in IL · 036068196

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

15821 S PARK AVE, South Holland, IL 60473

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Other Names 1

Other NameSouth Park Pediatrics

Other Providers at the Same Location NPPES 2

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

MRS. JENNIFER NORRIS ROSAS A.P.N.

Nurse Practitioner (Family)

15821 S PARK AVE
SOUTH HOLLAND, IL 60473

Cook County (708) 225-0200

DR. WENDELL A WHEELER M.D.

Pediatrics

15821 S PARK AVE
SOUTH HOLLAND, IL 60473

Cook County (708) 225-0200

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 1649638685. It was assigned to this organization in the NPPES registry on February 5, 2016. The provider is also known as South Park Pediatrics.

Where is South Park Pediatrics, Inc located?

South Park Pediatrics, Inc is located at 15821 S Park Ave, 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 Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for South Park Pediatrics, Inc was last updated on February 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.