HOLY FAMILY MEDICAL CLINIC
NPI 1689899551
Pediatrics in Cicero, IL

Active since April 16, 2007CLIA 14D2104338 · Waiver
4941 W 14TH ST, CICERO, IL 60804(708) 780-7400 Get Directions Write a Review

NPPES record last updated: July 1, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Holy Family Medical Clinic NPPES

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

HOLY FAMILY MEDICAL CLINIC (NPI 1689899551) is a healthcare organization registered as a pediatrics in Cicero, Illinois and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through November 1, 2027 and lists Edwin Pascual, M.d, as its authorized official.Information from the official NPPES registry record, last updated July 1, 2008.

NPPES Registry Identity

NPI1689899551
Entity TypeOrganization
Legal Business NameHOLY FAMILY MEDICAL CLINIC
Location Address4941 W 14TH STCicero, IL 60804-1419
Mailing Address4941 W 14th StCicero, IL 60804-1419 · (708) 780-7400
Organization SubpartNo
Authorized OfficialEdwin PascualM.d · (708) 780-7400
Enumeration DateApril 16, 2007
Last NPPES UpdateJuly 1, 2008
NPI 1689899551 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Pediatrics

Taxonomy 208000000X · Allopathic & Osteopathic Physicians

Licensed in IL · 036067770

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… Show more

4941 W 14TH ST, Cicero, IL 60804

Also on File with NPPES

Other Identifiers2
036067770 (Medicaid, IL)
0031601680 (Other, IL, Bcbs)
Group Practice1
This 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 Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D2104338
Facility Type
Physician Office
Certificate Effective Date
November 02, 2025
Certificate Expiration Date
November 01, 2027
Laboratory Director
EDWIN B. PASCUAL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Holy Family Medical Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for HOLY FAMILY MEDICAL CLINIC

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689899551, enumerated as an "organization" on April 16, 2007.

The provider is located at 4941 W 14TH ST CICERO, IL 60804 and the phone number is (708) 780-7400.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.