M M KIDS SC NPI 1467582098

NPI Information

  • NPI: 1467582098
  • Provider Name: M M KIDS SC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 14D2022775
  • Address: 675 W NORTH AVE
    STE 507
    MELROSE PK, IL
    ZIP 60160
  • Phone: (708) 681-7685

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NPI Details

M M KIDS SC is a pediatrics in Melrose Pk, IL. The provider is 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. M M KIDS SC NPI is 1467582098. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

675 W NORTH AVE
STE 507
MELROSE PK, IL
ZIP 60160
Phone: (708) 681-7685
Fax: (708) 681-7326

The provider's authorized official is Jane Gil .
The authorized official title is Office Manager and has the following contact phone number (847) 437-1006.

The CLIA number assigned to this NPI record is 14D2022775 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 8/22/2020.

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
1208000000XPediatricsILLINOISNo
2208000000XPediatricsILLINOISYes

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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