Provider Demographics
NPI:1518317320
Name:NORTHWEST SUBURBAN PEDIATRICS, S.C.
Entity Type:Organization
Organization Name:NORTHWEST SUBURBAN PEDIATRICS, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:H
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-788-8300
Mailing Address - Street 1:3335 N ARLINGTON HEIGHTS RD STE C&D
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-1573
Mailing Address - Country:US
Mailing Address - Phone:847-788-8300
Mailing Address - Fax:847-788-8306
Practice Address - Street 1:3335 N ARLINGTON HEIGHTS RD STE C&D
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-1573
Practice Address - Country:US
Practice Address - Phone:477-888-3008
Practice Address - Fax:477-888-3068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-13
Last Update Date:2021-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036075983208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1376553727OtherPHYSICIAN NPI
IL1063687978OtherPHYSICIAN NPI