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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: August 16, 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.

NPPES Registry Identity

NPI1689899551
Entity TypeOrganization
Primary Taxonomy208000000X
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
Phone(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.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036067770
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.
4941 W 14TH ST, Cicero, IL 60804
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Other Identifiers 2

Medicaid036067770IL
Other0031601680IL · Bcbs

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 14D2104338

Holy Family Medical Clinic · Cicero, IL
Active · expires Nov 1, 2027
CLIA Number14D2104338
Laboratory TypePhysician Office
Certificate Effective DateNovember 2, 2025
Certificate Expiration DateNovember 1, 2027
Laboratory DirectorEdwin B. Pascual
Laboratory Phone(708) 780-7400
Laboratory LocationHoly Family Medical Clinic5103 W Cermak Rd, Cicero, IL 60804
CLIA data matches this NPI record on: 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 Holy Family Medical Clinic's NPI number?

The NPI number for Holy Family Medical Clinic is 1689899551. It was assigned to this organization in the NPPES registry on April 16, 2007.

Where is Holy Family Medical Clinic located?

Holy Family Medical Clinic is located at 4941 W 14th St, Cicero, IL 60804. The listed phone number is (708) 780-7400.

What is Holy Family Medical Clinic's specialty?

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

Does Holy Family Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2104338) is associated with this NPI, valid through November 1, 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 Holy Family Medical Clinic was last updated on July 1, 2008. 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.