OrganizationActive
Progressive Pediatrics
NPI 1962648386 · Primary Care Clinic/Center · Bolingbrook, IL
Provider details
- NPI number
- 1962648386
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ayezah Mir, President(630) 378-1111
- License
- 036089109 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
215 Remington Blvd
Suite K
Bolingbrook, IL 60440-3656
Phone: (630) 378-1111
Fax: (630) 378-1112
Street-level locationGet directions
Mailing address
215 Remington Blvd
Bolingbrook, IL 60440-3656
Registry dates
- Enumerated
- 2009-01-07
- Last updated
- 2009-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.