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

Sovereign Pediatric

Organization Early Intervention Provider Agency · NPI 1669922217

Sovereign Pediatric is an Early Intervention Provider Agency in Lisle, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016
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Practice location Address checks out

1990 Green Trails Dr
Lisle, IL 60532-3345
Phone: (630) 370-2711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X · Licence 146.010876 (IL)

Record details

NPI number1669922217
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Binder — Speech Pathologist · (630) 370-2711
NPI enumeratedOctober 6, 2016
Last updated in NPPESOctober 6, 2016
Mailing address1990 Green Trails Dr, Lisle, IL 60532-3345

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