CHILDREN'S HOSPITAL OF WISCONSIN CLINICS-VERNON HILLS (NPI# 1053586180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053586180 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S HOSPITAL OF WISCONSIN CLINICS-VERNON HILLS |
| Other Organization Name | CHILDREN'S PHYSICIAN GROUP |
| Practice Address |
701 Woodlands Pkwy Suite 200 Vernon Hills IL 60061-3101 |
| Mailing Address |
9000 W Wisconsin Ave Ms 8000 Milwaukee WI 53226-4874 |
| Practice Telephone | 8477935450 |
| Mailing Telephone | 4142667615 |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2016-01-22 |
| Authorized Official Name | DR. THOMS DUNIGAN (PRESIDENT, CHILDREN'S PHYSICIAN GRP) |
| Authorized Official Telephone | 4142667615 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | CHILDREN'S PHYSICIAN GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207NP0225X |
Dermatology Specialization: Pediatric Dermatology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
Allopathic & Osteopathic Physicians | ||
| Y | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Children's Physician Group | Other Name - Individual/Organization |
| Street Address |
701 WOODLANDS PKWY SUITE 200 |
| City | VERNON HILLS |
| State | IL |
| Zip Code | 60061-3101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679585210 | Liborka Kos | Dermatology | 701 Woodlands Pkwy, Suite 200, Vernon Hills, IL 60061-3101 | 2006-08-12 |
| 1790941235 | Angeline Roman Zarzuela | Pediatrics | 701 Woodlands Pkwy, Suite 100, Vernon Hills, IL 60061-3101 | 2008-08-04 |
| 1023284635 | Melissa Lynn Abrams | Dermatology | 701 Woodlands Pkwy, Suite 200, Vernon Hills, IL 60061-3120 | 2008-05-03 |
| 1598951394 | Children's Physician Group | Clinic/Center | 701 Woodlands Pkwy, Suite 100, Vernon Hills, IL 60061-3101 | 2007-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841833399 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | Milwaukee Ave & E Towline Rd #e1600, Vernon Hills, IL 60061 | 2019-10-28 |
| 1124423769 | Deborah Randall | Pharmacist | 706 Summit Ln, Vernon Hills, IL 60061 | 2014-10-24 |
| 1902217938 | Alexandra Kohl Brady | Pediatrics | 830 W End Ct Ste 500, Vernon Hills, IL 60061 | 2014-05-13 |
| 1467862508 | Michelle Bistany | Counselor | 24647 North Milwaukee Avenue, Vernon Hills, IL 60061 | 2014-04-29 |
| 1740540913 | Serge Sorokin | Counselor | 565 Lakeview Parkway, Suite 105, Vernon Hills, IL 60061 | 2012-05-22 |
| 1972878304 | Valerie L Mayer | Counselor | 24647 N. Milwaukee Ave, Vernon Hills, IL 60061 | 2012-03-19 |
| 1407158033 | Ziemowit Mazur | Physician Assistant | 230 Center Drive, Vernon Hills, IL 60061 | 2010-12-02 |
| 1841508249 | Mandy L Imai | Speech-Language Pathologist | 200 N. Fairway Drive Ste 208, Vernon Hills, IL 60061 | 2010-09-20 |
| 1811203268 | Sarah E. Anderson | Occupational Therapist | 200 N. Fairway Drive, Suite 208, Vernon Hills, IL 60061 | 2010-08-24 |
| 1679898969 | Mussie Beraki | Internal Medicine | 6e Phillip Road Suite 1104, Vernon Hills, IL 60061 | 2010-03-30 |
| Find all providers in zip 60061 | ||||
| Taxonomy Code | 2080P0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neurodevelopmental Disabilities |
| A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336211457 | Abrar Arshad | Pediatrics | 565 Lakeview Pkwy, Suite 192, Vernon Hills, IL 60061-1838 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043617137 | Catherine Wolpert Novas | Pediatrics | 280 S Green Bay Rd, Lake Forest, IL 60045-3056 | 2014-12-04 |
| 1295056893 | Nikolas Mata-machado | Pediatrics | 100 E 14th St Apt 801, Chicago, IL 60605-3666 | 2010-06-17 |
| 1871661686 | Kenneth Silver | Pediatrics | 5841 S Maryland Ave Mc 3055, University of Chicago Hospitals & Clinics, Chicago, IL 60637 | 2006-12-01 |
| 1265440663 | Pediatrics and Child Development Clinic Inc. | Pediatrics | 2575 W Algonquin Rd, Suite A, Algonquin, IL 60102-9403 | 2006-08-03 |
| 1063446151 | Milford Frank Schwartz | Pediatrics | 2041 N Halsted St, Chicago, IL 60614-4371 | 2006-07-11 |
| 1174596225 | University of Illinois | Pediatrics | 515 Ne Glen Oak Ave, Pediatric Neurology, Peoria, IL 61603-3165 | 2006-02-09 |
| 1407238421 | Gisela Moreira Eyng | Pediatrics | 5841 S Maryland Ave # Mc3055, Chicago, IL 60637-1447 | 2015-06-25 |
| 1740607688 | Anisa Rahman | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611 | 2014-03-27 |
| 1609990894 | Katerji Pediatric Neurology & Assoc | Pediatrics | 900 Jorie Blvd, Suite 220, Oak Brook, IL 60523-3846 | 2007-03-16 |
| 1649320375 | Alan I. Rosenblatt | Pediatrics | 4801 W Peterson Ave, Suite 204, Chicago, IL 60646-5713 | 2007-01-12 |
| Find all providers with the same taxonomy | ||||
| City | VERNON HILLS |
| Zip Code | 60061 |
Please comment or provide details below to improve the information on CHILDREN'S HOSPITAL OF WISCONSIN CLINICS-VERNON HILLS.
| 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.