TINLEY PARK PEDIATRIC ASSOCIATES SC (NPI# 1346230232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346230232 |
| Entity Type | Organization |
| Organization Name | TINLEY PARK PEDIATRIC ASSOCIATES SC |
| Practice Address |
6703 159th St Suite 115 Tinley Park IL 60477-1781 |
| Mailing Address |
Po Box 789 Matteson IL 60443-0789 |
| Practice Telephone | 7083427032 |
| Practice Fax Number | 7083427085 |
| Mailing Telephone | 7087475850 |
| Mailing Fax Number | 7087479991 |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2007-10-22 |
| Authorized Official Name | DENICE D COOK (PRESIDENT) |
| Authorized Official Telephone | 7083427032 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BCBSIL GROUP NUMBER | 1634171 | 01 |
| Street Address |
6703 159TH ST SUITE 115 |
| City | TINLEY PARK |
| State | IL |
| Zip Code | 60477-1781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992704100 | Chaden Sbai | Internal Medicine | 6703 159th St, Suite 105, Tinley Park, IL 60477-1781 | 2005-07-19 |
| 1457582926 | Rewa Mahmoud Hasanat | Family Medicine | 6703 159th St, Suite 103, Tinley Park, IL 60477-1781 | 2009-08-01 |
| 1295965861 | Bushraah Medical Services Sc | Internal Medicine | 6703 159th St, Tinley Park, IL 60477-1781 | 2009-07-17 |
| 1407098544 | William Panje Md Sc | Otolaryngology | 6703 159th St, Tinley Park, IL 60477-1781 | 2009-04-06 |
| 1275713984 | Chaden Sbai Md Sc | Internal Medicine | 6703 159th St, Suite 105, Tinley Park, IL 60477-1781 | 2007-11-09 |
| 1447474283 | Phillip T Nigro | Orthopaedic Surgery | 6703 159th St, Suite 109, Tinley Park, IL 60477-1781 | 2007-04-12 |
| 1861415747 | Kavitha Bathala | Family Medicine | 6703 159th St, Suite 110, Tinley Park, IL 60477-1781 | 2006-07-25 |
| 1710931555 | Endocrine Care LLC | Internal Medicine | 6703 159th St, Suite 107, Tinley Park, IL 60477-1781 | 2006-05-19 |
| 1134119001 | Ibrahim Md Sc | Internal Medicine | 6703 159th St, Suite 105, Tinley Park, IL 60477-1781 | 2005-10-24 |
| 1558361956 | Denice D Cook | Pediatrics | 6703 159th St, Suite 115, Tinley Park, IL 60477-1781 | 2005-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522366 | Joshua Gruenke | Physical Therapist | 17129 S. Harlem Avenue, Tinley Park, IL 60477 | 2020-09-14 |
| 1881229656 | Sherrie Lynn Tsang | Massage Therapist | 7925 West 171st Street, Tinley Park, IL 60477 | 2020-03-11 |
| 1437782117 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 17129 S Harlem Ave. Ste B3, Tinley Park, IL 60477 | 2020-02-20 |
| 1356998561 | Rasa Vaskeviciute | Physical Therapist | 17129 So Harlem, Tinley Park, IL 60477 | 2019-08-22 |
| 1538728258 | Michelle Anne Wisen | Physical Therapy Assistant | 17129 South Harlem, Suite B3, Tinley Park, IL 60477 | 2019-06-06 |
| 1073006151 | Danielle Lyon | Counselor | 6801 West 180th Court, Tinley Park, IL 60477 | 2018-06-13 |
| 1316445794 | Yvonne Tran | Physical Therapist | 17129 S Harlem Ave, Tinley Park, IL 60477 | 2018-01-31 |
| 1326574591 | Nicholas Barker | Chronic Disease Hospital | 7859 Joliet Drive North, Tinley Park, IL 60477 | 2017-05-10 |
| 1982063632 | Nicole Kristine Demarco | Specialist/Technologist | 16317 Clark Ln, Tinley Park, IL 60477 | 2016-02-22 |
| 1376900571 | Ucp Seguin Greater Chicago | Foster Care Agency | 7550 W. 183rd, Tinley Park, IL 60477 | 2016-01-20 |
| Find all providers in zip 60477 | ||||
| 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 |
|---|---|---|---|---|
| 1902909591 | Brenda Rimando Narcelles | Pediatrics | 7060 W Centennial Dr, Suite 106, Tinley Park, IL 60477 | 2006-09-07 |
| 1689686529 | Wafaa G Hanna | Pediatrics | 18210 La Grange Rd Ste 109, Tinley Park, IL 60477-7723 | 2006-08-12 |
| 1396719803 | Kaushik Jayantilal Pandya | Pediatrics | 17029 Harlem Ave, Tinley Park, IL 60477-2739 | 2006-02-14 |
| 1053319111 | Gene Denning | Pediatrics | 18210 La Grange Rd, Suite 205, Tinley Park, IL 60477-7722 | 2005-07-12 |
| 1457358574 | Evan B Suan | Pediatrics | 6720 167th St, Tinley Park, IL 60477-2872 | 2005-07-05 |
| 1467735282 | Allison Croucher | Pediatrics | 17495 La Grange Rd, Tinley Park, IL 60487-7581 | 2011-09-28 |
| 1871763342 | Healthy Kids,sc | Pediatrics | 18210 La Grange Rd Ste 109, Tinley Park, IL 60487-7723 | 2008-03-11 |
| 1174727267 | Holly Russell | Pediatrics | 18210 La Grange Rd, Suite 205, Tinley Park, IL 60487-7722 | 2007-06-12 |
| 1700092574 | Katherine Ann Tovatt | Pediatrics | 18210 La Grange Rd, Suite 205, Tinley Park, IL 60477-7722 | 2007-05-16 |
| 1902947567 | Vera R Davis | Pediatrics | 7600 183rd St, Tinley Park, IL 60477-3690 | 2007-02-08 |
| Find all providers in TINLEY PARK | ||||
| City | TINLEY PARK |
| Zip Code | 60477 |
Please comment or provide details below to improve the information on TINLEY PARK PEDIATRIC ASSOCIATES SC.
| 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.