OrganizationActive
Back to Basics Pediatrics Sc
NPI 1205310356 · Pediatrics Physician · Algonquin, IL
Back to Basics Pediatrics Sc is a Pediatrics Physician organization in Algonquin, IL (NPI 1205310356).
Provider details
- NPI number
- 1205310356
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christine Poulos, Pediatrician(224) 520-0087
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
2403 Harnish Dr Ste 101
Algonquin, IL 60102-6803
Phone: (224) 520-0087
Street-level locationGet directions
Mailing address
2403 Harnish Dr Ste 101
Algonquin, IL 60102-6803
Other names (DBA / former)
- Other name
- Back to Basics Pediatrics, S Corp
- Other name
- Back to Basics Pediatrics, S Corp
Registry dates
- Enumerated
- 2018-09-24
- Last updated
- 2018-12-12
Frequently asked questions
- What is Back to Basics Pediatrics Sc's NPI number?
- Back to Basics Pediatrics Sc's National Provider Identifier (NPI) is 1205310356, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Back to Basics Pediatrics Sc?
- Back to Basics Pediatrics Sc is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Back to Basics Pediatrics Sc located?
- Back to Basics Pediatrics Sc's practice location on file with NPPES is 2403 Harnish Dr Ste 101, Algonquin, IL 60102-6803.
- What is Back to Basics Pediatrics Sc's phone number?
- The practice phone number listed in the NPPES registry for Back to Basics Pediatrics Sc is (224) 520-0087.
- Who is the authorized official for Back to Basics Pediatrics Sc?
- The authorized official listed on Back to Basics Pediatrics Sc's NPPES record is Christine Poulos, Pediatrician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Back to Basics Pediatrics Sc's NPI active?
- Yes — Back to Basics Pediatrics Sc's NPI (1205310356) is active in the NPPES registry as of the last update on 2018-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.