BACK TO BASICS PEDIATRICS SC – NPI #1205310356
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Health Care Provider Taxonomy Code for Pediatrics

BACK TO BASICS PEDIATRICS SC is a provider located in ALGONQUIN, IL. NPPES has assigned the NPI number 1205310356 to BACK TO BASICS PEDIATRICS SC on September 24, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. BACK TO BASICS PEDIATRICS SC is also known by the name BACK TO BASICS PEDIATRICS, S CORP. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 7 years ago on Dec 12, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BACK TO BASICS PEDIATRICS SC below.

NPI Profile for
BACK TO BASICS PEDIATRICS SC

NPI Number
1205310356
Enumeration Date

(more than 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BACK TO BASICS PEDIATRICS SC
Other Name: BACK TO BASICS PEDIATRICS, S CORP
Primary location
2403 HARNISH DR STE 101
ALGONQUIN, IL 60102-6803
Phone: (224) 520-0087 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHRISTINE POULOS
PEDIATRICIAN
Phone: (224) 520-0087
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.