Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Children's Physician Group

Organization Pediatric Cardiology Physician · NPI 1124362306

Children's Physician Group is a Pediatric Cardiology Physician in Crystal Lake, Illinois. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

360 Station Dr
Crystal Lake, IL 60014-7978
Phone: (815) 338-6600
Fax: (815) 477-9826
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X

Record details

NPI number1124362306
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationChildren's Physician Group
Authorized official Smriti Khare — President, Children'S Physician Grp · (414) 266-7615
Other names Crystal Lake Clinic
NPI enumeratedNovember 12, 2012
Last updated in NPPESNovember 12, 2012
Mailing address9000 W Wisconsin Ave, Ms 958, Milwaukee, WI 53226-4874