Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Adolescent and Young Adult Place Ltd

Organization Pediatric Adolescent Medicine Physician · NPI 1417259979

Adolescent and Young Adult Place Ltd provides Pediatric Adolescent Medicine Physician services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9 N Cicero Ave
Chicago, IL 60644-3602 Not confirmed with CMS for 15 years — call before visiting
Phone: (312) 859-2491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X · Licence 036086432 (IL)

Record details

NPI number1417259979
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Margo Bell — Owner · (312) 859-2491
NPI enumeratedDecember 3, 2010
Last updated in NPPESDecember 3, 2010
Mailing addressPo Box 795, Hillside, IL 60162-0795

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