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

Northside-Suburban Pediatric Associates, SC

Organization Specialist · NPI 1902802770

Northside-Suburban Pediatric Associates, SC is a Specialist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005

Practice location Address checks out

4801 W Peterson Ave Ste 506
Chicago, IL 60646-5795
Phone: (773) 777-5437
Fax: (773) 777-7567
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (IL)

Record details

NPI number1902802770
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Deutsch — Administrator/Manager · (773) 777-5437
NPI enumeratedJune 24, 2005
Last updated in NPPESAugust 22, 2020
Mailing address4801 W Peterson Ave, Ste 506, Chicago, IL 60646-5795

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