MEDICARE: AD-PARK PEDIATRIC ASSOCIATES, S.C.

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	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1700908498
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AD-PARK PEDIATRIC ASSOCIATES, S.C.

Provider Business Mailing Address
First Line	:	303 W LAKE ST
Second Line	:	SUITE 102
City	:	ADDISON
State	:	IL
Zip	:	60101-2586
Country	:	US
Telephone Number	:	630-543-3020
Fax Number	:	630-543-1551

Provider Business Practice Location Address
First Line	:	303 W LAKE ST
Second Line	:	SUITE 102
City	:	ADDISON
State	:	IL
Zip	:	60101-2586
Country	:	US
Telephone Number	:	630-543-3020
Fax Number	:	630-543-1551

Authorized Official
Title or Position	:	PHYSICIAN-VICE PRESIDENT
Name	:	DR. MERRICK J BROMBERG
Credential	:	D.O.
Telephone Number	:	630-543-3020

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1265591069 — DR. PETER T SCHUBEL M.D.
Practice Location Address:

303 W LAKE ST
ADDISON, IL
60101-2586

Practice Phone: 630-527-3645
Practice Fax:

1346309150 — DR. DARYL D WILSON M.D.
Practice Location Address:

303 W LAKE ST
ADDISON, IL
60101-2586

Practice Phone: 630-527-3645
Practice Fax:

1912968785 — DUPAGE MEDICAL ASSOCIATES, SC
Practice Location Address:

303 W LAKE ST , SUITE 206
ADDISON, IL
60101-2586

Practice Phone: 630-543-4200
Practice Fax: 630-543-4037

1659481778 — DR. MERRICK JAY BROMBERG D.O.
Practice Location Address:

303 W LAKE ST , SUITE 102
ADDISON, IL
60101-2586

Practice Phone: 630-543-3020
Practice Fax: 630-543-1551

1578691846 — FMGC, S.C.
Practice Location Address:

303 W LAKE ST , STE. 205
ADDISON, IL
60101-2586

Practice Phone: 630-458-8855
Practice Fax: 630-543-3943

1033368352 — DALE LIAUGMINAS, M.D. S.C.
Practice Location Address:

303 W LAKE ST , #201
ADDISON, IL
60101-2586

Practice Phone: 630-628-8450
Practice Fax: 630-628-8091

Directions to “AD-PARK PEDIATRIC ASSOCIATES, S.C. ” 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.