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Back To Basics Pediatrics Sc

Back To Basics Pediatrics Sc is a healthcare organization registered as Pediatrics Physician in Algonquin, IL, holding Type 2 (organization) NPI 1205310356 since 2018. The authorized official on file is Christine Poulos, Pediatrician.

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NPI 1205310356
Entity type Organization (Type 2)
Legal business name Back To Basics Pediatrics Sc
Other name <Unavail>
Practice address 2403 HARNISH DR STE 101, Algonquin, IL, 60102
Phone 2245200087
Enumeration date 2018-09-24
Last updated in NPPES 2018-12-12

Authorized official

Name Christine Poulos
Title Pediatrician
Phone 2245200087

Taxonomy & classification

Taxonomy code Specialty Primary License State
208000000X Pediatrics Physician Primary
Copy-ready billing details
Provider: Back To Basics Pediatrics Sc
NPI: 1205310356
Taxonomy: 208000000X (Pediatrics Physician)
Address: 2403 HARNISH DR STE 101, Algonquin, IL, 60102

Providers at this address

NPI Name Type Specialty Location
1679678874 Christine Poulos Individual Pediatrics Physician Algonquin, IL
1952782955 Joyce Elugbadebo Individual Pediatrics Physician Algonquin, IL
1710703228 Rocio Vargas Individual Pediatric Nurse Practitioner Algonquin, IL

Verify this record

Cross-check NPI 1205310356 against the authoritative CMS record: view Back To Basics Pediatrics Sc on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Back To Basics Pediatrics Sc located?
The practice location on file with NPPES is in Algonquin, IL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2018-12-12. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-12-12.