MILLENNIUM PEDIATRICS LLC (NPI# 1992870984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992870984 |
| Entity Type | Organization |
| Organization Name | MILLENNIUM PEDIATRICS LLC |
| Practice Address |
1012 West 95th St Suite 4 Naperville IL 60564 |
| Practice Telephone | 6305481100 |
| Mailing Telephone | 6305481100 |
| Mailing Fax Number | 6302364280 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CHAD C OLSEN (MEMBER CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 6305481100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
1012 WEST 95TH ST SUITE 4 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215598842 | Jennifer A Mcgill | Speech-Language Pathologist | Sovereign Pediatric Therapy, 1315 Macom Dr #103, Naperville, IL 60564 | 2019-06-25 |
| 1083187660 | Erin Michelle Hankins | Counselor | 2132 Deep Water Lane, Suite # 240, Naperville, IL 60564 | 2019-01-07 |
| 1851873905 | Helen A Bruckner | Student in an Organized Health Care Education/Training Program | 28w154 Country View Dr., Naperville, IL 60564 | 2018-09-05 |
| 1912483074 | Kristina Kochanova | Psychologist | 3380 Lacrosse Lane, Suites 106-107, Naperville, IL 60564 | 2018-07-12 |
| 1831608397 | Courtney Srum | Speech-Language Pathologist | Graham Elementary School 2315 High Meadow Rd., Naperville, IL 60564 | 2017-09-27 |
| 1447707880 | Isabel Betancourt | Registered Nurse | 1315 Macom Dr Ste 5, Naperville, IL 60564 | 2016-09-01 |
| 1134577802 | Rosa Maria Felix-jones | Massage Therapist | 3420 Lacrosse, Suite 100, Unit 2 & 3, Naperville, IL 60564 | 2016-06-02 |
| 1245618412 | Ian E Evans | Counselor | 2948 Artesian Rd., Suite 112, Naperville, IL 60564 | 2015-05-08 |
| 1093114498 | Sovereign Rehab | Clinic/Center | 1315 Macom Dr. Suite 103, Naperville, IL 60564 | 2014-08-21 |
| 1154745891 | Antonina Rosaria Sullivan | Occupational Therapist | 10350 Brenner Ct, Naperville, IL 60564 | 2014-02-18 |
| Find all providers in zip 60564 | ||||
| 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 |
|---|---|---|---|---|
| 1316597164 | Pm Pediatrics of Illinois | Pediatrics | 2835 Showplace Dr Ste 119, Naperville, IL 60564-5056 | 2019-09-13 |
| 1235464165 | Jerome O. Gronli | Pediatrics | 636 Raymond Dr Ste 205, Naperville, IL 60563-9791 | 2009-10-09 |
| 1821216086 | Michael J. Reicherts, Md Sc | Pediatrics | 4043 South State Route 59, Naperville, IL 60564 | 2007-04-23 |
| 1699801696 | Twenty First Century Pediatrics | Pediatrics | 640 S Washington Street, Suite 224, Naperville, IL 60540 | 2007-02-26 |
| 1609917491 | Midwestpediatrics,ltd | Pediatrics | 1020 E Ogden Ave Ste 306, Naperville, IL 60563-8611 | 2007-02-12 |
| 1194867713 | Whitney Lauren Fose | Pediatrics | 2940 Rolling Ridge Rd. Ste 300, Naperville, IL 60564 | 2007-02-12 |
| 1053406447 | Robin Kalish | Pediatrics | Millennium Pediatrics, 1012 95th St, Naperville, IL 60564 | 2006-10-03 |
| 1417972738 | Nancy Thomas Thomas | Pediatrics | 636 Raymond Drive, Suite 205, Naperville, IL 60563-9791 | 2006-07-13 |
| 1922030055 | Karen Marie Kreiling | Pediatrics | 2007 95th St Ll-a, Childrens Health Partners Sc, Naperville, IL 60564 | 2006-07-07 |
| 1720039191 | Maureen Ann Villageliu Naperville South Pediatrics | Pediatrics | 1819 Bay Scott Circle, Suite 105, Naperville, IL 60540-1102 | 2006-05-12 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60564 |
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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.