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FGM PEDIATRICS SC
NPI 1780633313
Pediatrics in North Riverside, IL

Active since May 10, 2006CLIA 14D2241320 · Microscopy
8711 W CERMAK RD, NORTH RIVERSIDE, IL 60546(708) 442-7979(708) 442-8574 Get Directions Write a Review

NPPES record last updated: May 2, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fgm Pediatrics Sc NPPES

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

FGM PEDIATRICS SC (NPI 1780633313) is a healthcare organization registered as a pediatrics in North Riverside, Illinois and active in the NPI registry since May 2006. The organization holds a CLIA Microscopy certificate valid through October 26, 2027 and lists Marc A Freed, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1780633313
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameFGM PEDIATRICS SC
Location Address8711 W CERMAK RDNorth Riverside, IL 60546-1166
Mailing AddressPo Box 967Tinley Park, IL 60477-0967 · (708) 532-6029 · Fax (708) 532-6095
Phone(708) 442-7979
Fax(708) 442-8574
Organization SubpartNo
Authorized OfficialMarc A FreedCo-owner · (708) 442-7979
Enumeration DateMay 10, 2006
Last NPPES UpdateMay 2, 2018
✔ NPI 1780633313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
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.
8711 W CERMAK RD, North Riverside, IL 60546
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Other Identifiers 1

Other0001623614IL · Bc Bs Of Il

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 for Provider-Performed Microscopy Procedures (PPMP) 14D2241320

Fgm Pediatrics · North Riverside, IL
Active · expires Oct 26, 2027
CLIA Number14D2241320
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2025
Certificate Expiration DateOctober 26, 2027
Laboratory DirectorMarc Freed
Laboratory Phone(708) 442-7979
Laboratory LocationFgm Pediatrics8711 W Cermak Rd, North Riverside, IL 60546
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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.

MARY ELLEN GRUSZKA MD
Pediatrics
8711 W CERMAK RD
NORTH RIVERSIDE, IL 60546
Cook County (708) 442-7979
MARC A FREED DO
Pediatrics
8711 W CERMAK RD
NORTH RIVERSIDE, IL 60546
Cook County (708) 442-7979
PABBISETTY V RAMANA MD
Pediatrics
8711 W CERMAK RD
NORTH RIVERSIDE, IL 60546
Cook County (708) 442-7979
KAYLA CONRAD FNP-C
Nurse Practitioner (Family)
8711 W CERMAK RD
NORTH RIVERSIDE, IL 60546
Cook County (708) 442-7979

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 Fgm Pediatrics Sc's NPI number?

The NPI number for Fgm Pediatrics Sc is 1780633313. It was assigned to this organization in the NPPES registry on May 10, 2006.

Where is Fgm Pediatrics Sc located?

Fgm Pediatrics Sc is located at 8711 W Cermak Rd, North Riverside, IL 60546. The listed phone number is (708) 442-7979.

What is Fgm Pediatrics Sc's specialty?

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

Does Fgm Pediatrics Sc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D2241320) is associated with this NPI, valid through October 26, 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 Fgm Pediatrics Sc was last updated on May 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.