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Contact Information

KIDDOS HEALTH, SC
3 YORKTOWN SHOPPING CTR
LOMBARD, IL60148-5516
 Phone: 630-520-5990
 Fax: 630-323-9044
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
 

Adolescent and Children Mental Health

261QM0855X
 

Assistant Behavior Analyst

106E00000X
 

Behavior Analyst

103K00000X
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Neurology with Special Qualifications in Child Neurology

2084N0402X 13 Physician/Neurology
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Pediatric Pulmonology

2080P0214X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Social Worker

104100000X
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Urgent Care

261QU0200X
Indicates primary specialty

NPI Profile & details for KIDDOS HEALTH, SC

NPI # 1558759738
LBN Legal business name KIDDOS HEALTH, SC
Authorized official MOHAMAD AL-AHDAB - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/22/2014
Last updated 01/01/2025 - More than a year ago
Identifiers
IL License # 036105004
IL Medicaid 036105004
IN Medicaid 201276620A
KS Medicaid 200414260C
OK Medicaid 200096860A
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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