Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Northside-Suburban Pediatric Associates, SC

Organization Specialist · NPI 1902802770

Northside-Suburban Pediatric Associates, SC provides Specialist services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005

Practice location Address checks out

4801 W Peterson Ave Ste 506
Chicago, IL 60646-5795
Phone: (773) 777-5437
Fax: (773) 777-7567
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (IL)

Record details

NPI number1902802770
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Deutsch — Administrator/Manager · (773) 777-5437
NPI enumeratedJune 24, 2005
Last updated in NPPESAugust 22, 2020
Mailing address4801 W Peterson Ave, Ste 506, Chicago, IL 60646-5795

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