OrganizationActive
Lake County Pediatrics Sc
NPI 1114102530 · Pediatrics Physician · Gurnee, IL
Lake County Pediatrics Sc is a Pediatrics Physician organization in Gurnee, IL (NPI 1114102530).
Provider details
- NPI number
- 1114102530
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Marlene Tanquilut, President(847) 336-0770
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 S Greenleaf Ave
Suite E
Gurnee, IL 60031
Phone: (847) 336-0770
Fax: (847) 336-0159
Street-level locationGet directions
Mailing address
200 S Greenleaf Ave
Gurnee, IL 60031
Registry dates
- Enumerated
- 2008-01-03
- Last updated
- 2008-01-03
Frequently asked questions
- What is Lake County Pediatrics Sc's NPI number?
- Lake County Pediatrics Sc's National Provider Identifier (NPI) is 1114102530, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake County Pediatrics Sc?
- Lake County Pediatrics Sc is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Lake County Pediatrics Sc located?
- Lake County Pediatrics Sc's practice location on file with NPPES is 200 S Greenleaf Ave, Gurnee, IL 60031.
- What is Lake County Pediatrics Sc's phone number?
- The practice phone number listed in the NPPES registry for Lake County Pediatrics Sc is (847) 336-0770.
- Who is the authorized official for Lake County Pediatrics Sc?
- The authorized official listed on Lake County Pediatrics Sc's NPPES record is Marlene Tanquilut, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake County Pediatrics Sc's NPI active?
- Yes — Lake County Pediatrics Sc's NPI (1114102530) is active in the NPPES registry as of the last update on 2008-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.