South Park Pediatrics, Inc
NPI 1649638685 · Medical Specialty Clinic/Center · South Holland, IL
South Park Pediatrics, Inc is a Medical Specialty Clinic/Center organization in South Holland, IL (NPI 1649638685).
Provider details
- NPI number
- 1649638685
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Wendell Wheeler, President(708) 225-0200
- License
- 036068196 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Mailing address
Other names (DBA / former)
- Other name
- South Park Pediatrics
Registry dates
- Enumerated
- 2016-02-05
- Last updated
- 2016-02-05
Frequently asked questions
- What is South Park Pediatrics, Inc's NPI number?
- South Park Pediatrics, Inc's National Provider Identifier (NPI) is 1649638685, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Park Pediatrics, Inc?
- South Park Pediatrics, Inc is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is South Park Pediatrics, Inc located?
- South Park Pediatrics, Inc's practice location on file with NPPES is 15821 S Park Ave, South Holland, IL 60473-1506.
- What is South Park Pediatrics, Inc's phone number?
- The practice phone number listed in the NPPES registry for South Park Pediatrics, Inc is (708) 225-0200.
- Who is the authorized official for South Park Pediatrics, Inc?
- The authorized official listed on South Park Pediatrics, Inc's NPPES record is Wendell Wheeler, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Park Pediatrics, Inc's NPI active?
- Yes — South Park Pediatrics, Inc's NPI (1649638685) is active in the NPPES registry as of the last update on 2016-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.