BOLINGBROOK PEDIATRICS SC NPI 1073794756

NPI Information

  • NPI: 1073794756
  • Provider Name: BOLINGBROOK PEDIATRICS, SC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 14D0952675
  • Address: 439 W BOUGHTON RD
    BOLINGBROOK, IL
    ZIP 60440
  • Phone: (630) 759-5000

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NPI Details

BOLINGBROOK PEDIATRICS, SC is a primary care clinic center in Bolingbrook, IL. BOLINGBROOK PEDIATRICS, SC NPI is 1073794756. The provider is registered as an organization entity type.

The provider's business location address is:

439 W BOUGHTON RD
BOLINGBROOK, IL
ZIP 60440-821
Phone: (630) 759-5000
Fax: (630) 759-4567

The provider's authorized official is Paramjeet Kaur Singh .
The authorized official title is President and has the following contact phone number (630) 759-5000.

The CLIA number assigned to this NPI record is 14D0952675 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/21/2007 and was last updated on 11/21/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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