PEDIATRIC SERVICES OF AMERICA, LLC; NPI #1891740601

Contact Information

PEDIATRIC SERVICES OF AMERICA, LLC

18440 THOMPSON CT
SUITE 108
TINLEY PARK, IL 60477-5426

Phone: 707-429-5551
Fax: 708-444-1278
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Nursing Care	251J00000X
Home Health	251E00000X	A4[11]	Home Health Agency

Indicates primary specialty

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NPI Profile & details for PEDIATRIC SERVICES OF AMERICA, LLC

NPI # 1891740601

LBN Legal business name PEDIATRIC SERVICES OF AMERICA, LLC

Authorized official MATTHEW BUCKHALTER - (CFO)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/23/2006

Last updated 01/27/2025 - More than a year ago

Identifiers

License #

1008101

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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