Healthcare Provider Details

I. General information

NPI: 1528232048
Provider Name (Legal Business Name): PEDSCARE SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2008
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5310 N SHERIDAN RD
CHICAGO IL
60640-2514
US

IV. Provider business mailing address

5310 N SHERIDAN RD
CHICAGO IL
60640-2514
US

V. Phone/Fax

Practice location:
  • Phone: 773-878-3750
  • Fax: 773-878-3754
Mailing address:
  • Phone: 773-878-3750
  • Fax: 773-878-3754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036085864
License Number StateIL

VIII. Authorized Official

Name: DR. SYED F HUSSAINI
Title or Position: PRESIDENT
Credential: MD
Phone: 773-878-3750