NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C. – Specialist, NPI 1902802770

NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C. is a healthcare provider. based in Chicago, Illinois. specializing in Specialist. The NPI Number for NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C. is 1902802770

Main info

Organization
Name
NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C.
NPI
1902802770
Phone
(773) 777-5437
Address
4801 W PETERSON AVE
Authorized Official
MARY DEUTSCH ADMINISTRATOR/MANAGER
Enumeration Date
24 June 2005
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C.

  • Edens Office Plaza, 4801, West Peterson Avenue, Sauganash, Forest Glen, Chicago, Jefferson Township, Cook County, Illinois, 60646, United States

    STE 506

    CHICAGO, IL 606465795

    Phone: (773) 777-5437

    Fax: (773) 777-7567

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60646)

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Reviews

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Frequently asked questions

Can I verify NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C. with an NPI only?
You can start verification with NPI 1902802770 for NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C., then check state licensing separately.
Does CMS list NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C. as active?
Yes — NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C. is active in the NPI listing used on this page.
What taxonomy line describes NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C.?
For research purposes, treat NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C. as Other Service Providers in this dataset. Clinical services aligned with this taxonomy classification.
Does NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C. list a practice location?
Patients near Chicago, Illinois may find NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C. in results; validate coverage separately.
Is the information about NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C. up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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