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.

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

Practice location

200 S Greenleaf Ave

Suite E

Gurnee, IL 60031

Phone: (847) 336-0770

Fax: (847) 336-0159

Street-level locationGet directions

More IL providers

Mailing address

200 S Greenleaf Ave

Gurnee, IL 60031

Specialties & taxonomies

Pediatrics PhysicianPrimary208000000X
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(89/100 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.

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.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions