GENESIS PEDIATRIC MEDICINE, LLC – NPI #1912295494
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

GENESIS PEDIATRIC MEDICINE, LLC is a provider located in SYCAMORE, IL. NPPES has assigned the NPI number 1912295494 to GENESIS PEDIATRIC MEDICINE, LLC on July 18, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

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 GENESIS PEDIATRIC MEDICINE, LLC below.

NPI Profile for
GENESIS PEDIATRIC MEDICINE, LLC

NPI Number
1912295494
Enumeration Date

(about 15 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
GENESIS PEDIATRIC MEDICINE, LLC
Primary location
1830 MEDITERRANEAN DR
SYCAMORE, IL 60178-3144
Phone: (815) 899-0001 Fax: (815) 899-0002
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARK REGNIER
PRESIDENT
Phone: (815) 899-0001
Updated
Identifiers

Identifiers for GENESIS PEDIATRIC MEDICINE, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIL036097453
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)		 IL 036097453

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.