NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C.
NPI 1902802770
Specialist in Chicago, IL

Active since June 24, 2005
4801 W PETERSON AVE, STE 506, CHICAGO, IL 60646(773) 777-5437(773) 777-7567 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Northside-suburban Pediatric Associates, S.c. NPPES

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

NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C. (NPI 1902802770) is a healthcare organization registered as a specialist in Chicago, Illinois and active in the NPI registry since June 2005. The organization lists Mary Deutsch, Administrator/manager, as its authorized official.

NPPES Registry Identity

NPI1902802770
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C.
Location Address4801 W PETERSON AVE, STE 506Chicago, IL 60646-5795
Mailing Address4801 W Peterson Ave, Ste 506Chicago, IL 60646-5795 · (773) 777-5437 · Fax (773) 777-7567
Fax(773) 777-7567
Organization SubpartNo
Authorized OfficialMary DeutschAdministrator/manager · (773) 777-5437
Enumeration DateJune 24, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1902802770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4801 W PETERSON AVE, Chicago, IL 60646

Other Identifiers 1

Other01615555IL · Blue Shield Provider #

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

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.

Specialist
4801 W PETERSON AVE, STE 506
CHICAGO, IL 60646
Physical Therapist
4801 W PETERSON AVE, SUITE 314
CHICAGO, IL 60646
Physical Therapist
4801 W PETERSON AVE, SUITE 402
CHICAGO, IL 60646
Psychologist (Clinical)
4801 W PETERSON AVE, 403
CHICAGO, IL 60646
Internal Medicine
4801 W PETERSON AVE, #600
CHICAGO, IL 60646
Dentist
4801 W PETERSON AVE, SUITE 550
CHICAGO, IL 60646
Psychologist (Clinical)
4801 W PETERSON AVE, SUITE 612
CHICAGO, IL 60646
Clinic/Center (Dental)
4801 W PETERSON AVE, SUITE 312
CHICAGO, IL 60646

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 Northside-Suburban Pediatric Associates, S.C.'s NPI number?

The NPI number for Northside-Suburban Pediatric Associates, S.C. is 1902802770. It was assigned to this organization in the NPPES registry on June 24, 2005.

Where is Northside-Suburban Pediatric Associates, S.C. located?

Northside-Suburban Pediatric Associates, S.C. is located at 4801 W Peterson Ave Ste 506, Chicago, IL 60646. The listed phone number is (773) 777-5437.

What is Northside-Suburban Pediatric Associates, S.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Northside-Suburban Pediatric Associates, S.C. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.