PEDIATRICS AND CHILD DEVELOPMENT CLINIC INC. (NPI# 1265440663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265440663 |
| Entity Type | Organization |
| Organization Name | PEDIATRICS AND CHILD DEVELOPMENT CLINIC INC. |
| Practice Address |
2575 W Algonquin Rd Suite A Algonquin IL 60102-9403 |
| Practice Telephone | 8476584574 |
| Practice Fax Number | 8475876113 |
| Mailing Telephone | 8476584574 |
| Mailing Fax Number | 8475876113 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2009-11-17 |
| Authorized Official Name | MUSSARAT ARSHAD (OWNER) |
| Authorized Official Telephone | 8476584574 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
036092453 | IL | Allopathic & Osteopathic Physicians |
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
036092453 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036092453 | 05 | |
| IL | BLUE CROSS/SHIELD | 05628082 | 01 |
| Street Address |
2575 W ALGONQUIN RD SUITE A |
| City | ALGONQUIN |
| State | IL |
| Zip Code | 60102-9403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801968953 | Mussarat Arshad | Pediatrics | 2575 W Algonquin Rd, Suite A, Algonquin, IL 60102-9403 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700411329 | Amber Nicole Bianchi | Massage Therapist | 265 Stonegate Road, Algonquin, IL 60102 | 2020-03-04 |
| 1255971156 | Cler Family Solutions LLC | Case Management | 12 Waterfront Ct, Algonquin, IL 60102 | 2020-01-09 |
| 1114577079 | Camp Chirotherapy LLC | Chiropractor | 3925 W Algonquin Rd, Algonquin, ID 60102 | 2019-09-12 |
| 1295380392 | Kevin Layton Sanderson | In Home Supportive Care | 9604 Zimmer Drive, Algonquin, IL 60102 | 2019-08-06 |
| 1669964300 | Favia Primary Care, Sc | Family Medicine | 1340 Ryan Parkway, Algonquin, IL 60102 | 2018-05-30 |
| 1285142745 | Melissa Sue Aeschliman | Speech-Language Pathologist | 8 White Chapel Ct., Algonquin, IL 60102 | 2018-01-18 |
| 1295251940 | Maria Melina Dominguez | Counselor | 1138 N. Main Street, Algonquin, IL 60102 | 2017-08-15 |
| 1578001830 | Advanced Dental and Implant Care PC | Dentist | 2310 Huntington Dr. N., Algonquin, IL 60102 | 2017-02-07 |
| 1871037861 | Rehabcare Group East, LLC | Clinic/Center | 212 Eastgate Ct, Algonquin, IL 60102 | 2016-12-09 |
| 1891172664 | Foot and Ankle Specialists of Illinois Ltd | Podiatrist | 2430 Esplanade Drive Suite A, Algonquin, IL 60102 | 2015-04-30 |
| Find all providers in zip 60102 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] 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 |
|---|---|---|---|---|
| 1720625601 | Shane Rafferty | Pediatrics | 4852 N Rockwell St Apt 2, Chicago, IL 60625-6521 | 2019-12-10 |
| 1376930750 | Prudence Hartwell | Pediatrics | 5841 S Maryland Ave # Mc0900, Chicago, IL 60637 | 2015-04-23 |
| 1962841122 | Jessica Katz Edison | Pediatrics | 1555 Barrington Rd Lowr Level, Hoffman Estates, IL 60169-1019 | 2013-06-21 |
| 1942598891 | Sotiria E. Moschovis | Pediatrics | 6127 N. Leader Ave., Chicago, IL 60646 | 2011-07-13 |
| 1326335514 | Evora Juanita Brent | Pediatrics | 1000 Central St., Suite 800, Evanston, IL 60201-1780 | 2011-07-07 |
| 1720142995 | Peter Joseph Smith Sr. | Pediatrics | 950 E. 61st Street, Ssc, Suite 207, Chicago, IL 60637 | 2006-12-21 |
| 1619948411 | University of Illinois | Pediatrics | Regional Development Center, 507 E Armstrong, Peoria, IL 61603 | 2006-01-30 |
| 1912545542 | Neila Petrovic | Pediatrics | 603 E Diehl Rd Ste 123, Naperville, IL 60563-4908 | 2019-12-13 |
| 1538637905 | Isabel Krynski | Pediatrics | 740 Quail Ridge Dr, Westmont, IL 60559-6148 | 2018-11-05 |
| 1134644834 | Shevia Morris | Pediatrics | 5116 N Nordica Ave, Chicago, IL 60656-3606 | 2017-08-03 |
| Find all providers with the same taxonomy | ||||
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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.