KID CARE DOCTORS (NPI# 1043535248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043535248 |
| Entity Type | Organization |
| Organization Name | KID CARE DOCTORS |
| Other Organization Name | KID CARE PEDIATRICS |
| Practice Address |
2240 S Cicero Ave Cicero IL 60804-2411 |
| Mailing Address |
2254 S Cicero Ave Cicero IL 60804-2411 |
| Practice Telephone | 7082229170 |
| Practice Fax Number | 7082229173 |
| Mailing Telephone | 7732229170 |
| Mailing Fax Number | 7082229173 |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2018-06-20 |
| Authorized Official Name | MICHEAL PETERS (CFO) |
| Authorized Official Telephone | 3122740498 |
| Is Organization Subpart | Y |
| Parent Organization Name | KID CARE PEDIATRICS |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Kid Care Pediatrics | Doing Business As Name - Organization |
| Street Address |
2240 S CICERO AVE |
| City | CICERO |
| State | IL |
| Zip Code | 60804-2411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154533180 | Koushan Haidarzadeh Azad | Dentist | 2240 S Cicero Ave, Cicero, IL 60804-2411 | 2007-05-03 |
| 1912139338 | Preeti A Shivakumar | Dentist | 2240 S Cicero Ave, Cicero, IL 60804-2411 | 2009-08-18 |
| 1073776571 | Paul Justin Stec | Dentist | 2240 S Cicero Ave, Cicero, IL 60804 | 2008-07-03 |
| 1629271788 | Darren Alexander Bennett | Dentist | 2240 S Cicero Ave, Cicero, IL 60804-2411 | 2007-06-07 |
| 1952517708 | Frank Vonwesternhagen | Dentist | 2240 S Cicero Ave, Cicero, IL 60804-2411 | 2007-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265096945 | Jacqueline N/a Gonzalez | Physical Therapy Assistant | 3521 S 56th Ct, Cicero, IL 60804 | 2019-04-27 |
| 1265966832 | Jacqueline Calles | Substance Abuse Rehabilitation Facility | 4904 W. 32nd St, Cicero, IL 60804 | 2017-04-20 |
| 1346667771 | America's Best Contacts & Eyeglasses | Technician/Technologist | 4741 W Cermak Rd, Cicero, IL 60804 | 2014-03-24 |
| 1538580469 | Jesus Paul Sanchez | Behavioral Analyst | 3100 S. Central Ave, Cicero, IL 60804 | 2013-12-19 |
| 1568712123 | Monil P Shah Dmd PC | Dentist | 5539 W Cermak Road, Cicero, IL 60804 | 2012-09-11 |
| 1699073148 | Lolita Aguinaga | Social Worker | 5341 W. Cermak Road, Cicero, IL 60804 | 2011-03-08 |
| 1699949263 | Anne T Gearhart | Pediatrics | 2307 S Cicero Ave, Chicago, IL 60804 | 2008-04-15 |
| 1437332467 | J S Vitamins and More Inc | Durable Medical Equipment & Medical Supplies | 4785 W Cermatz, Circero, IL 60804 | 2007-12-13 |
| 1427171339 | Barbara J Majchrowski | Optometrist | 5729 W 35th Street, Suite 1east, Cicero, IL 60804 | 2007-04-06 |
| 1124190269 | Gulliume Moor | Psychologist | 6117 West Cermak Road, Cicero, IL 60804 | 2006-11-14 |
| Find all providers in zip 60804 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003100942 | Cicero Pediatrics | Pediatrics | 5307 W Cermak Rd, Cicero, IL 60804-2817 | 2011-06-08 |
| 1114183738 | Hazel A Galicia | Pediatrics | 2307-09 S. Cicero Ave., Cicero, IL 60804-2452 | 2008-08-03 |
| 1871674184 | Nancy Martinez-amini | Pediatrics | 5535 W Cermak Rd, Cicero, IL 60804-2218 | 2006-10-17 |
| 1326159104 | Edwin Bautista Pascual | Pediatrics | 4941 W 14th St, Cicero, IL 60804-1419 | 2006-08-31 |
| 1871507236 | Luis F Santiago | Pediatrics | 5533 W Cermak Rd, Cicero, IL 60804-2236 | 2006-07-28 |
| 1205862422 | Nirupama Mahidhara | Pediatrics | 2307-09 S Cicero Ave, Cicero, IL 60804-2451 | 2006-06-23 |
| 1639132459 | Michelle K Floyd Rebollo | Pediatrics | 5912 W Cermak Rd, Cicero, IL 60804-2135 | 2006-04-11 |
| 1073583357 | David T Terasaka | Pediatrics | 6251 State Route 31, Cicero, NY 13039 | 2006-01-26 |
| 1851565725 | Marami Ltd | Pediatrics | 5535 W Cermak Rd, Cicero, IL 60804-2218 | 2008-04-22 |
| 1851577886 | Wee Care Pediatrics, Pllc | Pediatrics | 6251 State Route 31, Cicero, NY 13039 | 2008-01-22 |
| Find all providers in CICERO | ||||
Please comment or provide details below to improve the information on KID CARE DOCTORS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.