MUNDELEIN PEDIATRICS, S.C.
NPI 1336294800
Pediatrics - Adolescent Medicine in Grayslake, IL
NPI Status: Active since January 24, 2007
Contact Information
1170 E BELVIDERE RD
SUITE 106
GRAYSLAKE, IL
ZIP 60030
Phone: (847) 548-7337
Fax: (847) 548-9909
- Organization
- Pediatrics
- Adolescent Medicine
- Accepts Insurance
- CLIA Number: 14D0673568
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-31-2026
About MUNDELEIN PEDIATRICS, S.C.
This page provides the complete NPI Profile along with additional information for Mundelein Pediatrics, S.c., a pediatrician established in Grayslake, Illinois operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1336294800 assigned on January 2007. The practitioner's primary taxonomy code is 2080A0000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Robert G. Malloy M.d. (Vice President)
- NPI
- 1336294800
- Provider Name
- MUNDELEIN PEDIATRICS, S.C.
- Entity Type
- Organization
- Location Address
- 1170 E BELVIDERE RD SUITE 106 GRAYSLAKE, IL 60030
- Location Phone
- (847) 548-7337
- Location Fax
- (847) 548-9909
- Mailing Address
- 1170 E BELVIDERE RD SUITE 106 GRAYSLAKE, IL 60030
- Mailing Phone
- (847) 548-7337
- Mailing Fax
- (847) 548-9909
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-24-2007
- Last Update Date
- 08-22-2020
- Code Navigator
A pediatrician like Mundelein Pediatrics, S.c. is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics Adolescent Medicine
- Taxonomy Code
- 2080A0000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- IL
- Taxonomy Description
- A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D0673568
- Facility Type
- Physician Office
- Certificate Effective Date
- August 01, 2024
- Certificate Expiration Date
- July 31, 2026
- Laboratory Director
- KATHY A. SESKIEWICZ
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Mundelein Pediatrics, S.c. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 2 | 9 | 4 | 8 | 0 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 4 | 9 | 8 | 8 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 4 + 9 + 8 + 8 + 0 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1336294800 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1922092048 | ROBERT G MALLOY MD Individual | Pediatrics (Adolescent Medicine) | 1170 E BELVIDERE RD #106 MUNDELEIN PEDIATRICS SC GRAYSLAKE, IL 60030 (847) 548-7337 |
| 1003800129 | MRS. KARIN KALLWITZ MD Individual | Pediatrics (Adolescent Medicine) | 1170 E BELVIDERE RD STE 106 GRAYSLAKE, IL 60030 (847) 548-7337 |
| 1548254691 | MRS. ANITA T AVILA MD Individual | Pediatrics (Adolescent Medicine) | 1170 E BELVIDERE RD #106 GRAYSLAKE, IL 60030 (847) 548-7337 |
| 1609813419 | CONDELL MEDICAL CENTER Organization | Clinic/Center (Radiology, Mobile Mammography) | 1170 E BELVIDERE RD GRAYSLAKE, IL 60030 (847) 223-0127 |
| 1295774271 | DR. LISA LEVY KEEL PHD, MA, LCPC Individual | Counselor | 1170 E BELVIDERE RD SUITE 201 GRAYSLAKE, IL 60030 (847) 548-0492 |
| 1740367655 | MR. SCOTT MICHAEL BECKMAN PHYSICAL THERAPIST Individual | Physical Therapist | 1170 E BELVIDERE RD SUITE 109 GRAYSLAKE, IL 60030 (847) 543-4800 |
| 1144347352 | MEADOWS MEDICAL GROUP, LTD Organization | Family Medicine | 1170 E BELVIDERE RD SUITE 209 GRAYSLAKE, IL 60030 (847) 231-6026 |
| 1346362811 | DEBRA THURSTON M.A., L.C.P.C. Individual | Counselor (Professional) | 1170 E BELVIDERE RD SUITE 201 GRAYSLAKE, IL 60030 (847) 548-0492 |
| 1669658308 | WAJAHAT MIRZA MD SC Organization | Internal Medicine (Cardiovascular Disease) | 1170 E BELVIDERE RD SUITE 212 GRAYSLAKE, IL 60030 (847) 543-6814 |
| 1114170115 | CHRISTINE LOUISE JAKUBEC M.A., CCC-A Individual | Audiologist | 1170 E BELVIDERE RD SUITE 204 GRAYSLAKE, IL 60030 (847) 231-5500 |
| 1770737199 | ADVOCATE CONDELL MEDICAL CENTER Organization | Clinic/Center (Radiology, Mobile Mammography) | 1170 E BELVIDERE RD GRAYSLAKE, IL 60030 (847) 223-0127 |
| 1265672729 | MS. IRMA SHARP Individual | Social Worker (Clinical) | 1170 E BELVIDERE RD GRAYSLAKE, IL 60030 (847) 548-0492 |
| 1417264698 | THURSTON & ASSOCIATES Organization | Counselor (Professional) | 1170 E BELVIDERE RD SUITE 201 GRAYSLAKE, IL 60030 (847) 548-0492 |
| 1073786463 | NORTH SHORE CONSULTANTS IN OB GYN SC Organization | Obstetrics & Gynecology (Obstetrics) | 1170 E BELVIDERE RD SUITE 102 GRAYSLAKE, IL 60030 (847) 548-9999 |
| 1881856821 | NUHA MARIAM SHAIR M.D. Individual | Pediatrics | 1170 E BELVIDERE RD SUITE 106 GRAYSLAKE, IL 60030 (847) 548-7337 |
| 1255320271 | CLAYMORE MEDICAL GROUP SC Organization | Internal Medicine | 1170 E BELVIDERE RD SUITE 207 GRAYSLAKE, IL 60030 (847) 223-4446 |
| 1881633857 | NORTH SUBURBAN COUNSELING, PC Organization | Counselor | 1170 E BELVIDERE RD SUITE 201 GRAYSLAKE, IL 60030 (847) 548-0492 |
| 1427589027 | FOREFRONT DERMATOLOGY, S.C. Organization | Dermatology | 1170 E BELVIDERE RD SUITE 206 GRAYSLAKE, IL 60030 (224) 541-8120 |
| 1245256965 | PARAG THAKKAR MD Individual | Internal Medicine | 1170 E BELVIDERE RD SUITE 210 GRAYSLAKE, IL 60030 (847) 548-9186 |
| 1477535151 | ROBERT BRUCE ROSENBERG M.D. Individual | Obstetrics & Gynecology | 1170 E BELVIDERE RD SUITE 102 GRAYSLAKE, IL 60030 (847) 548-9999 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336294800, enumerated in the NPI registry as an "organization" on January 24, 2007
The provider is located at 1170 E Belvidere Rd Suite 106 Grayslake, Il 60030 and the phone number is (847) 548-7337
This medical organization specializes in Pediatrics with taxonomy code 2080A0000X with a focus in Adolescent Medicine
The provider might be accepting Accepts: Aetna CVS Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 14D0673568 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on January 24, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.