OrganizationActive
Pediatrust, L.L.C.
NPI 1982958013 · Pediatrics Physician · Lake Forest, IL
Provider details
- NPI number
- 1982958013
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Susan Sirota, Ceo(224) 330-6300
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
900 N Westmoreland Rd
Suite 217
Lake Forest, IL 60045-1674
Phone: (847) 615-0700
Street-level locationGet directions
Mailing address
2375 Waterview Dr Ste Sm100
Northbrook, IL 60062-6145
Registry dates
- Enumerated
- 2012-10-26
- Last updated
- 2024-03-22
- Certified
- 2024-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.