MEDICARE: CHICAGO DEVELOPMENTAL & BEHAVIORAL PEDIATRICS, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0006X	Developmental - Behavioral Pediatrics Physician

General Provider Information

NPI Number	:	1356205538
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHICAGO DEVELOPMENTAL & BEHAVIORAL PEDIATRICS, PC

Provider Business Mailing Address
First Line	:	4132 N BELL AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-2914
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2123 W IRVING PARK RD
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60618-3923
Country	:	US
Telephone Number	:	773-636-6975
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KARIN VANDER PLOEG BOOTH
Credential	:	MD
Telephone Number	:	773-636-6975

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	12/12/2025

Similar Medicare Providers

1326398538 — KELLY LOUISE GEORGE LCPC
Practice Location Address:

2109 W IRVING PARK RD
CHICAGO, IL
60618-3923

Practice Phone: 773-692-4558
Practice Fax:

1255980223 — NEW CONSTELLATIONS THERAPY
Practice Location Address:

2109 W IRVING PARK RD
CHICAGO, IL
60618-3923

Practice Phone: 773-692-4558
Practice Fax: 773-825-8188

1861033268 — INTEGRATIVE PERSPECTIVES COUNSELING AND CONSULTING PC
Practice Location Address:

2109 W IRVING PARK RD
CHICAGO, IL
60618-3923

Practice Phone: 312-544-9343
Practice Fax: 312-253-1404

1023996790 — THE AGENCY AGENCY PLLC
Practice Location Address:

2109 W IRVING PARK RD
CHICAGO, IL
60618-3923

Practice Phone: 773-270-1233
Practice Fax:

1699480947 — BRIANNA LASAPONARA
Practice Location Address:

3923 N OTTAWA AVE
CHICAGO, IL
60634-2128

Practice Phone: 773-425-5483
Practice Fax:

1831085307 — MS. DEJA WALKER
Practice Location Address:

1649 N MOODY AVE
CHICAGO, IL
60639-3923

Practice Phone: 872-283-9283
Practice Fax: 872-283-9283

Directions to “CHICAGO DEVELOPMENTAL & BEHAVIORAL PEDIATRICS, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.