Provider Demographics
NPI:1285752360
Name:ADIL PEDIATRICS, INC
Entity type:Organization
Organization Name:ADIL PEDIATRICS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:MUZAFFERUDDIN
Authorized Official - Last Name:ADIL
Authorized Official - Suffix:
Authorized Official - Credentials:M D
Authorized Official - Phone:815-729-3006
Mailing Address - Street 1:800 SHANAHAN CT
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-8219
Mailing Address - Country:US
Mailing Address - Phone:815-729-3006
Mailing Address - Fax:866-757-6056
Practice Address - Street 1:2226 WEBER RD
Practice Address - Street 2:
Practice Address - City:CREST HILL
Practice Address - State:IL
Practice Address - Zip Code:60403-0928
Practice Address - Country:US
Practice Address - Phone:815-729-3006
Practice Address - Fax:866-757-6056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036095236208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL9932210OtherBLUECROSS BLUE SHIELD, IL
IL036095236Medicaid
ILF68125Medicare UPIN
ILF68125Medicare UPIN