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CHICAGO AMBULATORY CARE CENTER, LTD
NPI 1821345208
Pediatrics in Chicago, IL

Active since August 05, 2012CLIA 14D1007160 · Waiver
1044 N MOZART ST, STE - 402, CHICAGO, IL 60622(773) 292-4501 Get Directions Write a Review

NPPES record last updated: September 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chicago Ambulatory Care Center, Ltd NPPES

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

CHICAGO AMBULATORY CARE CENTER, LTD (NPI 1821345208) is a healthcare organization registered as a pediatrics in Chicago, Illinois and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through December 9, 2026 and lists George Thomas Ampalloor, President, as its authorized official.

NPPES Registry Identity

NPI1821345208
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameCHICAGO AMBULATORY CARE CENTER, LTD
Location Address1044 N MOZART ST, STE - 402Chicago, IL 60622-2789
Mailing Address1044 N Mozart St, Ste - 402Chicago, IL 60622-2789
Phone(773) 292-4501
Organization SubpartNo
Authorized OfficialGeorge Thomas AmpalloorPresident · (773) 292-4501
Enumeration DateAugust 5, 2012
Last NPPES UpdateSeptember 11, 2021
NPPES CertifiedSeptember 11, 2021
✔ NPI 1821345208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036105483
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.
1044 N MOZART ST, Chicago, IL 60622
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Other Identifiers 1

Medicaid036105483IL

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 14D1007160

Chicago Ambulatory Care Center Ltd · Chicago, IL
Active · expires Dec 9, 2026
CLIA Number14D1007160
Laboratory TypePhysician Office
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorGeorge T. Ampalloor
Laboratory Phone(773) 292-8303
Laboratory LocationChicago Ambulatory Care Center Ltd1044 N Mozart Avenue, Suite 402, Chicago, IL 60622
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

OLGA L SAAVEDRA M.D. SC
Clinic/Center (Primary Care)
1044 N MOZART ST, SUITE 503
CHICAGO, IL 60622
Cook County (773) 772-9607
KRISTEN RICHTER
Nurse Practitioner
1044 N MOZART ST, SUITE 100
CHICAGO, IL 60622
Cook County (773) 292-8300
DR. AUREA D PRIMERO
Family Medicine
1044 N MOZART ST, SUITE 505
CHICAGO, IL 60622
Cook County (773) 235-6047
BRIDGET ELIZABETH TYNER SAROYA CPNP
Nurse Practitioner (Pediatrics)
1044 N MOZART ST, STE-402
CHICAGO, IL 60622
Cook County (773) 292-4501
ALFREDO P. SY M.D.
Family Medicine
1044 N MOZART ST, SUITE 203
CHICAGO, IL 60622
Cook County (773) 292-8300
CHRISTINE NOWICKI LCSW
Social Worker (Clinical)
1044 N MOZART ST
CHICAGO, IL 60622
Cook County (773) 292-8300
DR. GEORGE THOMAS AMPALLOOR MD
Pediatrics
1044 N MOZART ST, SUITE 402
CHICAGO, IL 60622
Cook County (773) 292-4501
EDMUNDO RIOJA MD
Obstetrics & Gynecology
1044 N MOZART ST
CHICAGO, IL 60622
Cook County (773) 292-2600

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 Chicago Ambulatory Care Center, Ltd's NPI number?

The NPI number for Chicago Ambulatory Care Center, Ltd is 1821345208. It was assigned to this organization in the NPPES registry on August 5, 2012.

Where is Chicago Ambulatory Care Center, Ltd located?

Chicago Ambulatory Care Center, Ltd is located at 1044 N Mozart St Ste - 402, Chicago, IL 60622. The listed phone number is (773) 292-4501.

What is Chicago Ambulatory Care Center, Ltd's specialty?

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

Does Chicago Ambulatory Care Center, Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1007160) is associated with this NPI, valid through December 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Chicago Ambulatory Care Center, Ltd accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Chicago Ambulatory Care Center, Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Chicago Ambulatory Care Center, Ltd was last updated on September 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.