PARK RIDGE PEDIATRICS PC NPI 1518979327

NPI Information

  • NPI: 1518979327
  • Provider Name: PARK RIDGE PEDIATRICS PC
  • Classification: Pediatrics - 208000000X
  • Entity Type: Organization
  • CLIA Number: 14D0413868
  • Address: 101 S WASHINGTON AVE
    SUITE 122
    PARK RIDGE, IL
    ZIP 60068
  • Phone: (847) 692-6628

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NPI Details

PARK RIDGE PEDIATRICS PC is a pediatrics in Park Ridge, 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. PARK RIDGE PEDIATRICS PC NPI is 1518979327. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

101 S WASHINGTON AVE
SUITE 122
PARK RIDGE, IL
ZIP 60068-200
Phone: (847) 692-6628
Fax: (847) 692-6891

The provider's authorized official is Maria Roma Hrycelak .
The authorized official title is Owner and has the following contact phone number (847) 692-6628.

The CLIA number assigned to this NPI record is 14D0413868 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2006 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
1208000000XPediatricsILLINOISYes

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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