Progressive Pediatrics
Progressive Pediatrics is a healthcare organization registered as Primary Care Clinic/Center in Bolingbrook, IL, holding Type 2 (organization) NPI 1962648386 since 2009. The authorized official on file is Ayezah Mir, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1962648386 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Progressive Pediatrics |
| Practice address | 215 REMINGTON BLVD, SUITE K, Bolingbrook, IL, 60440 |
| Phone | 6303781111 |
| Fax | 6303781112 |
| Enumeration date | 2009-01-07 |
| Last updated in NPPES | 2009-01-07 |
Authorized official
| Name | Ayezah Mir |
|---|---|
| Title | President |
| Phone | 6303781111 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QP2300X | Primary Care Clinic/Center | Secondary | 036089109 | IL |
| 261QP2300X | Primary Care Clinic/Center | Primary | 036112854 | IL |
Copy-ready billing details
Provider: Progressive Pediatrics NPI: 1962648386 Taxonomy: 261QP2300X (Primary Care Clinic/Center) Address: 215 REMINGTON BLVD, SUITE K, Bolingbrook, IL, 60440
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1215922398 | Srilakshmi Vemareddy | Individual | Internal Medicine Physician | Bolingbrook, IL |
| 1275641003 | Robin Whatley | Individual | Obstetrics & Gynecology Physician | Bolingbrook, IL |
| 1922106640 | Efrain Flores | Individual | Pediatrics Physician | Bolingbrook, IL |
| 1245383066 | Susan Wexler | Individual | Pediatric Nurse Practitioner | Bolingbrook, IL |
| 1871715227 | Heartland Primary Care Sc | Organization | Internal Medicine Physician | Bolingbrook, IL |
| 1407049505 | Sarada Vemareddy | Individual | Family Medicine Physician | Bolingbrook, IL |
| 1104013473 | Gateway Spine and Pain Physicians, LLC | Organization | Pain Medicine (Anesthesiology) Physician | Bolingbrook, IL |
| 1083899090 | Polaris Physical Therapy, P.C. | Organization | Physical Therapist | Bolingbrook, IL |
Verify this record
Cross-check NPI 1962648386 against the authoritative CMS record: view Progressive Pediatrics 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 Progressive Pediatrics located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-01-07.