OrganizationActive
Back to Basics Pediatrics Sc
NPI 1205310356 · Pediatrics Physician · Algonquin, IL
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.