CHICAGOLAND COMMUNITY PEDIATRIC CARDIOLOGY SC NPI 1407032022

NPI Information

  • NPI: 1407032022
  • Provider Name: CHICAGOLAND COMMUNITY PEDIATRIC CARDIOLOGY SC
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Former Legal Business Name: THOMAS J WEIGEL MD SC
  • Address: 2923 N CALIFORNIA AVE
    SUITE 230
    CHICAGO, IL
    ZIP 60618
  • Phone: (312) 951-5800

Map and Directions

Get Directions

NPI Details

CHICAGOLAND COMMUNITY PEDIATRIC CARDIOLOGY SC is a medical specialty clinic center in Chicago, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). CHICAGOLAND COMMUNITY PEDIATRIC CARDIOLOGY SC NPI is 1407032022. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Thomas J Weigel Md Sc.

The provider's business location address is:

2923 N CALIFORNIA AVE
SUITE 230
CHICAGO, IL
ZIP 60618-677
Phone: (312) 951-5800
Fax: (312) 951-5816

The provider's authorized official is Debra Schaffer .
The authorized official title is Billing Manager and has the following contact phone number (630) 217-7799.

The enumeration date for this NPI number is 1/14/2008 and was last updated on 7/25/2024.

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
1261QM2500XClinic/CenterMedical Specialty042007521ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1036072228MEDICAIDILLINOIS
2036100179MEDICAIDILLINOIS
3042007521OTHERILLINOISSTATE LICENSE

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI