PILSEN COMMUNITY PEDIATRICS S. C.
NPI 1760561617
Pediatrics in Chicago, IL
NPI Status: Active since November 03, 2006
Contact Information
1859 S BLUE ISLAND AVE
CHICAGO, IL
ZIP 60608
Phone: (312) 666-5455
- Organization
- Pediatrics
- Accepts Insurance
- CLIA Number: 14D0945965
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-13-2026
About PILSEN COMMUNITY PEDIATRICS S. C.
This page provides the complete NPI Profile along with additional information for Pilsen Community Pediatrics S. C., a pediatrician established in Chicago, Illinois operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1760561617 assigned on November 2006. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 13 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 Gustavo E Oroza-henners M.d. (President)
- NPI
- 1760561617
- Provider Name
- PILSEN COMMUNITY PEDIATRICS S. C.
- Entity Type
- Organization
- Location Address
- 1859 S BLUE ISLAND AVE CHICAGO, IL 60608
- Location Phone
- (312) 666-5455
- Mailing Address
- 1859 S BLUE ISLAND AVE CHICAGO, IL 60608
- Mailing Phone
- (312) 666-5455
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-03-2006
- Last Update Date
- 03-09-2012
- Code Navigator
A pediatrician like Pilsen Community 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
- 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:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- MyBlue Plus Bronze? 903 - POS
- MyBlue Plus Bronze? 912 - POS
- MyBlue Plus Bronze? Standard - Select Rx Copays - POS
- MyBlue Plus Gold? 909 - POS
- MyBlue Plus Gold? 910 - POS
- MyBlue Plus Gold? Standard - Rx Copays - POS
- MyBlue Plus Silver? 905 - POS
- MyBlue Plus Silver? 906 - POS
- MyBlue Plus Silver? Standard - Select Rx Copays - POS
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 with Rx Copay - HMO
- Silver 1 - HMO
- Silver 1 with Rx Copay and Adult Vision Services - HMO
- Silver 12 with first 4 free PCP or MH visits - HMO
- Silver 8 - HMO
*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
- 14D0945965
- Facility Type
- Physician Office
- Certificate Effective Date
- May 14, 2024
- Certificate Expiration Date
- May 13, 2026
- Laboratory Director
- GUSTAVO E. OROZA M D
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Pilsen Community 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 | 7 | 6 | 0 | 5 | 6 | 1 | 6 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 12 | 0 | 10 | 6 | 2 | 6 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 2 + 0 + 1 + 0 + 6 + 2 + 6 + 2 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1760561617 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 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1437228806 | GUSTAVO E OROZA-HENNERS M.D. Individual | Pediatrics | 1859 S BLUE ISLAND AVE CHICAGO, IL 60608 (312) 666-5455 |
| 1144456658 | PILSEN DENTAL GROUP Organization | Dentist (General Practice) | 1859 S BLUE ISLAND AVE CHICAGO, IL 60608 (131) 266-6556 |
| 1467682872 | UNIVERSAL MEDICAL CARE Organization | Obstetrics & Gynecology (Gynecology) | 1859 S BLUE ISLAND AVE CHICAGO, IL 60608 (773) 370-0324 |
| 1922442086 | NORTH SUBURBAN ORTHODONTICS, LTD Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 1859 S BLUE ISLAND AVE CHICAGO, IL 60608 (312) 666-5560 |
| 1760561344 | DR. LINDA MEZA Individual | Pediatrics | 1859 S BLUE ISLAND AVE CHICAGO, IL 60608 (312) 666-5455 |
| 1407264583 | MOUNT SINAI COMMUNITY FOUNDATION DBA SINAI MEDICAL GROUP Organization | Family Medicine | 1859 S BLUE ISLAND AVE CHICAGO, IL 60608 (773) 738-3111 |
| 1386235133 | MS. RUI Z LI FNP Individual | Nurse Practitioner (Family) | 1859 S BLUE ISLAND AVE CHICAGO, IL 60608 (773) 521-8330 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760561617, enumerated in the NPI registry as an "organization" on November 03, 2006
The provider is located at 1859 S Blue Island Ave Chicago, Il 60608 and the phone number is (312) 666-5455
This medical organization specializes in Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter 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 14D0945965 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 November 03, 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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