AD-PARK PEDIATRIC ASSOCIATES, S.C.
NPI 1700908498
Pediatrics in Addison, IL

NPI Status: Active since April 04, 2007

Contact Information

303 W LAKE ST
SUITE 102
ADDISON, IL
ZIP 60101
Phone: (630) 543-3020
Fax: (630) 543-1551

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  • Organization
  • Pediatrics
  • Accepts Insurance
  • CLIA Number: 14D0415011
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 12-31-2025

About AD-PARK PEDIATRIC ASSOCIATES, S.C.

This page provides the complete NPI Profile along with additional information for Ad-park Pediatric Associates, S.c., a pediatrician established in Addison, Illinois operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1700908498 assigned on April 2007. 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. Merrick J Bromberg D.o. (Physician-vice President)

NPI
1700908498
Provider Name
AD-PARK PEDIATRIC ASSOCIATES, S.C.
Entity Type
Organization
Location Address
303 W LAKE ST SUITE 102 ADDISON, IL 60101
Location Phone
(630) 543-3020
Location Fax
(630) 543-1551
Mailing Address
303 W LAKE ST SUITE 102 ADDISON, IL 60101
Mailing Phone
(630) 543-3020
Mailing Fax
(630) 543-1551
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-04-2007
Last Update Date
08-22-2020
Code Navigator

A pediatrician like Ad-park Pediatric Associates, 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

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
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:

  • Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - PPO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay - HMO
  • Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MERRICK J BROMBERG D.O.

Authorized Official Title
PHYSICIAN-VICE PRESIDENT
Authorized Official Phone
(630) 543-3020

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
14D0415011
Facility Type
Physician Office
Certificate Effective Date
January 01, 2024
Certificate Expiration Date
December 31, 2025
Laboratory Director
PAULA BEBEJ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Ad-park Pediatric Associates, S.c. 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.

Reviews for AD-PARK PEDIATRIC ASSOCIATES, S.C.

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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.
1700908498
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
270018016418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 1 + 8 + 0 + 1 + 6 + 4 + 1 + 8 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1700908498 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912968785DUPAGE MEDICAL ASSOCIATES, SC
Organization
Internal Medicine303 W LAKE ST SUITE 206
ADDISON, IL 60101
(630) 543-4200
1659481778DR. MERRICK JAY BROMBERG D.O.
Individual
Pediatrics303 W LAKE ST SUITE 102
ADDISON, IL 60101
(630) 543-3020
1578691846FMGC, S.C.
Organization
Internal Medicine (Gastroenterology)303 W LAKE ST STE. 205
ADDISON, IL 60101
(630) 458-8855
1033368352DALE LIAUGMINAS, M.D. S.C.
Organization
Specialist303 W LAKE ST #201
ADDISON, IL 60101
(630) 628-8450
1225274467ELMHURST MEMORIAL AFFILIATED PRIMARY CARE PHYSICIANS, LLC
Organization
Clinic/Center303 W LAKE ST SUITE 206
ADDISON, IL 60101
(630) 543-4200
1336770239 MARY JO MCDONNELL LCPC
Individual
Counselor (Professional)303 W LAKE ST
ADDISON, IL 60101
(630) 305-5164
1669061545MRS. AARIKA MILLER LCSW, CDVP
Individual
Social Worker (Clinical)303 W LAKE ST
ADDISON, IL 60101
(331) 221-9000
1396127239DR. KRUNAL PATEL MD
Individual
Internal Medicine303 W LAKE ST SUITE 200
ADDISON, IL 60101
(331) 221-9001
1679836647 ANDREW W FRANCIS M.D.
Individual
Ophthalmology (Retina Specialist)303 W LAKE ST STE 303
ADDISON, IL 60101
(630) 225-7247
1063166882 JOHN SCHROEDER LPC, NBCC
Individual
Counselor (Professional)303 W LAKE ST
ADDISON, IL 60101
(630) 527-3200
1396430922ELMHURST MEMORIAL HOSPITAL
Organization
Health Educator303 W LAKE ST
ADDISON, IL 60101
(331) 221-1000
1083256572 AMY LEE APRN-FPA
Individual
Nurse Practitioner303 W LAKE ST
ADDISON, IL 60101
(331) 221-0570
1356127104 PATRICK WILLIAM CROWE
Individual
Nurse Practitioner303 W LAKE ST
ADDISON, IL 60101
(630) 527-3645
1861771149 ERIC MICHAEL CONWAY PA-C
Individual
Physician Assistant303 W LAKE ST
ADDISON, IL 60101
(630) 527-6345
1295430676 MAGDALENA OTTOSEN APN-DNP
Individual
Nurse Practitioner303 W LAKE ST
ADDISON, IL 60101
(630) 527-3645
1821448077MRS. ERIKA E GLEESON APN
Individual
Nurse Practitioner (Family)303 W LAKE ST
ADDISON, IL 60101
(630) 527-3645
1851876593 GRACE MARIE KALENYK PA-C
Individual
Physician Assistant303 W LAKE ST
ADDISON, IL 60101
(630) 527-3645
1003046103ELMHURST MEMORIAL HEALTHCARE
Organization
Internal Medicine303 W LAKE ST SUITE 202
ADDISON, IL 60101
(630) 953-3301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700908498, enumerated in the NPI registry as an "organization" on April 04, 2007

The provider is located at 303 W Lake St Suite 102 Addison, Il 60101 and the phone number is (630) 543-3020

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 14D0415011 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 April 04, 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].
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