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SIGNATURE PEDIATRICS LLC
NPI 1861022410
Pediatrics in Des Plaines, IL

Active since January 23, 2020CLIA 14D2176816 · Waiver
150 N RIVER RD STE 240, DES PLAINES, IL 60016(847) 391-9033(847) 391-9177 Get Directions Write a Review

NPPES record last updated: October 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 28, 2020, Jan 23, 2020 (2 updates tracked since 2020).

About Signature Pediatrics Llc NPPES

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

SIGNATURE PEDIATRICS LLC (NPI 1861022410) is a healthcare organization registered as a pediatrics in Des Plaines, Illinois and active in the NPI registry since January 2020. The organization holds a CLIA Waiver certificate valid through December 25, 2027 and lists Sree Adithya Balusu, Owner, as its authorized official.

NPPES Registry Identity

NPI1861022410
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSIGNATURE PEDIATRICS LLC
Location Address150 N RIVER RD STE 240Des Plaines, IL 60016-1272
Mailing Address150 N River Rd Ste 240Des Plaines, IL 60016-1272 · (847) 391-9033 · Fax (847) 391-9177
Phone(847) 391-9033
Fax(847) 391-9177
Organization SubpartNo
Authorized OfficialSree Adithya BalusuOwner · (913) 904-8366
Enumeration DateJanuary 23, 2020
Last NPPES UpdateOctober 17, 20252 updates tracked since enumeration
NPPES CertifiedOctober 17, 2025
✔ NPI 1861022410 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.
150 N RIVER RD STE 240, Des Plaines, IL 60016
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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 14D2176816

Signature Pediatrics L L C · Des Plaines, IL
Active · expires Dec 25, 2027
CLIA Number14D2176816
Laboratory TypePhysician Office
Certificate Effective DateDecember 26, 2025
Certificate Expiration DateDecember 25, 2027
Laboratory DirectorSree Balusu
Laboratory Phone(847) 391-9033
Laboratory LocationSignature Pediatrics L L C150 N River Rd - Ste 240, Des Plaines, IL 60016
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

SREE BALUSU MD
Pediatrics
150 N RIVER RD STE 240
DES PLAINES, IL 60016
Cook County (847) 391-9033

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 Signature Pediatrics LLC's NPI number?

The NPI number for Signature Pediatrics LLC is 1861022410. It was assigned to this organization in the NPPES registry on January 23, 2020.

Where is Signature Pediatrics LLC located?

Signature Pediatrics LLC is located at 150 N River Rd Ste 240, Des Plaines, IL 60016. The listed phone number is (847) 391-9033.

What is Signature Pediatrics LLC's specialty?

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

Does Signature Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2176816) is associated with this NPI, valid through December 25, 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 Signature Pediatrics LLC was last updated on October 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.