MY PEDIATRICS ASSOCIATES LLC (NPI# 1275773475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275773475 |
| Entity Type | Organization |
| Organization Name | MY PEDIATRICS ASSOCIATES LLC |
| Practice Address |
2875 W 19th St Chicago IL 60623-3501 |
| Practice Telephone | 7732650300 |
| Mailing Telephone | 7732650300 |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2016-06-21 |
| Authorized Official Name | DR. MOHAMMAD Y CHAUDHARY (PRESIDENT) |
| Authorized Official Telephone | 7734844348 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
036050545 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
2875 W 19TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60623-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194723999 | Saint Anthony Hospital | General Acute Care Hospital | 2875 W 19th St, Chicago, IL 60623-3501 | 2005-07-14 |
| 1922658772 | James Yuanxin Huang | Physical Therapist | 2875 W 19th St, Rehab Department, Chicago, IL 60623 | 2019-09-13 |
| 1033768726 | Christine Leung | Occupational Therapist | 2875 W 19th St, Chicago, IL 60623-3501 | 2019-09-05 |
| 1477102101 | Anna Ruth Alexander | Physical Therapist | 2875 W 19th St, Chicago, IL 60623-3501 | 2019-09-05 |
| 1154893063 | Saint Anthony Hospital | General Acute Care Hospital | 2875 W 19th St, Chicago, IL 60623-3501 | 2018-12-18 |
| 1225509763 | Rashawn Alisia Sims | Physician Assistant | 2875 W 19th St, Chicago, IL 60623-3501 | 2018-12-10 |
| 1619459302 | Saint Anthony Hospital | Clinical Medical Laboratory | 2875 W 19th St, Chicago, IL 60623-3501 | 2018-08-30 |
| 1619456423 | Saint Anthony Hospital | General Acute Care Hospital | 2875 W 19th St, Chicago, IL 60623-3501 | 2018-08-13 |
| 1245719327 | Bruni Hirsch | Advanced Practice Midwife | 2875 W 19th St, Chicago, IL 60623-3501 | 2018-08-09 |
| 1972006229 | Katherine De Los Trinos-ocampo | Nurse Practitioner | 2875 W 19th St, Chicago, IL 60623-3501 | 2018-03-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629697917 | East Oaks Dialysis LLC | Clinic/Center | 2950 W 26th St, Chicago, IL 60623 | 2020-04-16 |
| 1922543917 | Montclare Senior Residences Slf of Lawndale LLC | Assisted Living Facility | 4339 West 18th Place, Chicago, IL 60623 | 2016-12-29 |
| 1679024376 | Athletico Ltd. | Physical Therapist | 2632 W. Pershing Rd., Chicago, IL 60623 | 2016-10-18 |
| 1245691211 | L A Jones Hair Restoration Center | Prosthetic/Orthotic Supplier | 1657 S. Troy, Chicago, IL 60623 | 2016-03-17 |
| 1982019204 | Sonrisa Dental Little Village 26th | Clinic/Center | 3059 S 26th St, Chicago, IL 60623 | 2014-06-25 |
| 1992055487 | Margaret C Johnson | Nurse Practitioner | 3860 W. Ogden Ave, Chicago, IL 60623 | 2012-09-12 |
| 1477851319 | Elizabeth Bauer | Physician Assistant | 3256 W 24th St, Chicago, IL 60623 | 2011-03-01 |
| 1023328390 | Rebecca Franco | Advanced Practice Midwife | 2875 W. 19th St, Chicago, IL 60623 | 2010-10-20 |
| 1447580899 | Candace Nicole Hutchen | Pharmacist | 3434 West 13th Place, Chicago, IL 60623 | 2010-01-07 |
| 1689801680 | Braceman P&o Inc. | Prosthetic/Orthotic Supplier | 2830 W. Cermak Rd., Chicago, IL 60623 | 2009-06-17 |
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| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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/certification - 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 |
|---|---|---|---|---|
| 1417259979 | Adolescent and Young Adult Place Ltd | Pediatrics | 9 N Cicero Ave, Chicago, IL 60644-3602 | 2010-12-03 |
| 1942520671 | Cherie Priya Dhar | Pediatrics | 1440 N Dayton St Fl 3, Chicago, IL 60642-2644 | 2010-06-04 |
| 1649475377 | Lisa Kantz Simons | Pediatrics | 225 E Chicago Ave # Ms 161b, Chicago, IL 60611-2991 | 2007-06-21 |
| 1417966789 | Sudha V. Shah | Pediatrics | 1516 W Devon Ave, Chicago, IL 60660-1314 | 2006-08-05 |
| 1447259759 | Kimberly A. Koval | Pediatrics | 1030 N Clark St, Suite 400, Chicago, IL 60610-5467 | 2005-07-19 |
| 1235451402 | Felicia Scott | Pediatrics | 1725 W Harrison St, Suite 710, Chicago, IL 60612-3841 | 2010-02-15 |
| 1124260625 | Sonia Wengerhoff | Pediatrics | 2835 N Sheffield Ave, Suite 501, Chicago, IL 60657-5081 | 2009-03-30 |
| 1528233087 | Nava Segall Md Sc | Pediatrics | 4116 N Lincoln Ave, Chicago, IL 60618-3028 | 2008-04-25 |
| 1093934275 | The Board of Trustees of The University of Illinois | Pediatrics | 840 S Wood St, Chicago, IL 60612-4325 | 2007-04-25 |
| 1427107812 | Margo Antoinette Bell | Pediatrics | 1901 W Harrison St, Administration, Suite 1112, Chicago, IL 60612-3714 | 2007-01-09 |
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| 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.