PARK RIDGE PEDIATRICS PC
NPI 1518979327
Pediatrics in Park Ridge, IL
NPI Status: Active since August 12, 2006
Contact Information
101 S WASHINGTON AVE
SUITE 122
PARK RIDGE, IL
ZIP 60068
Phone: (847) 692-6628
Fax: (847) 692-6891
- Organization
- Pediatrics
- Accepts Insurance
- CLIA Number: 14D0413868
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-25-2025
About PARK RIDGE PEDIATRICS PC
This page provides the complete NPI Profile along with additional information for Park Ridge Pediatrics Pc, a pediatrician established in Park Ridge, Illinois operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1518979327 assigned on August 2006. The practitioner's primary taxonomy code is 208000000X. 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. Maria Roma Hrycelak M.d. (Owner)
- NPI
- 1518979327
- Provider Name
- PARK RIDGE PEDIATRICS PC
- Entity Type
- Organization
- Location Address
- 101 S WASHINGTON AVE SUITE 122 PARK RIDGE, IL 60068
- Location Phone
- (847) 692-6628
- Location Fax
- (847) 692-6891
- Mailing Address
- 101 S WASHINGTON AVE SUITE 122 PARK RIDGE, IL 60068
- Mailing Phone
- (847) 692-6628
- Mailing Fax
- (847) 692-6891
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-12-2006
- Last Update Date
- 08-22-2020
- Code Navigator
A pediatrician like Park Ridge Pediatrics Pc 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
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- IL
- Taxonomy Description
- 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.
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
- Blue Choice Preferred Bronze PPO? 201 - PPO
- Blue Choice Preferred Bronze PPO? 701 - PPO
- Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
- Blue Choice Preferred Gold PPO? 204 - PPO
- Blue Choice Preferred Gold PPO? 901 - PPO
- Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
- Blue Choice Preferred Security PPO? 200 - PPO
- Blue Choice Preferred Silver PPO? 203 - PPO
- Blue Choice Preferred Silver PPO? 801 - PPO
- Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - 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
- 14D0413868
- Facility Type
- Physician Office
- Certificate Effective Date
- October 26, 2023
- Certificate Expiration Date
- October 25, 2025
- Laboratory Director
- MARIA R. HRYCELAK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Park Ridge Pediatrics Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 5 | 1 | 8 | 9 | 7 | 9 | 3 | 2 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 2 | 8 | 18 | 7 | 18 | 3 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 2 + 8 + 1 + 8 + 7 + 1 + 8 + 3 + 4 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1518979327 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1922041813 | DR. JOHN P KENNEY DDS, MS Individual | Dentist (Pediatric Dentistry) | 101 S WASHINGTON AVE PARK RIDGE, IL 60068 (847) 698-2088 |
| 1710914692 | DR. DANIEL EDWARD HOGAN D.M.D. Individual | Dentist (General Practice) | 101 S WASHINGTON AVE SUITE 103 PARK RIDGE, IL 60068 (847) 698-0203 |
| 1811905987 | DR. ROBERT STEPHEN KOZELKA DDS Individual | Dentist (General Practice) | 101 S WASHINGTON AVE PARK RIDGE, IL 60068 (847) 823-7910 |
| 1174792170 | DR. SVEN CHRISTER GARTNER D.D.S. Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 101 S WASHINGTON AVE #105 PARK RIDGE, IL 60068 (847) 823-3141 |
| 1992850697 | GARTNER ORTHODONTICS, LTD. Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 101 S WASHINGTON AVE #105 PARK RIDGE, IL 60068 (847) 823-3141 |
| 1710996988 | DR. MARIA ROMA HRYCELAK M.D. Individual | Pediatrics | 101 S WASHINGTON AVE 122 PARK RIDGE, IL 60068 (847) 692-6628 |
| 1972513331 | DR. LISA MARIE VILLANUEVA M.D. Individual | Pediatrics | 101 S WASHINGTON AVE SUITE 122 PARK RIDGE, IL 60068 (847) 692-6628 |
| 1467137414 | DR. CHARLOTTE SALAMEH DMD Individual | Dentist | 101 S WASHINGTON AVE PARK RIDGE, IL 60068 (847) 698-0203 |
| 1932319423 | GRAUER-KUCHTA DENTAL AS Organization | Dentist | 101 S WASHINGTON AVE SUITE 135 PARK RIDGE, IL 60068 (847) 696-3240 |
| 1326124728 | DR. ALICE G BOGHOSIAN D.D.S. Individual | Dentist (General Practice) | 101 S WASHINGTON AVE SUITE 135 PARK RIDGE, IL 60068 (847) 692-7760 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518979327, enumerated in the NPI registry as an "organization" on August 12, 2006
The provider is located at 101 S Washington Ave Suite 122 Park Ridge, Il 60068 and the phone number is (847) 692-6628
This medical organization specializes in Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Aetna CVS Health and Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 14D0413868 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on August 12, 2006. 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].
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