ADVANCED PEDIATRIC AND NEONATAL MEDICINE SC NPI 1093037673

NPI Information

NPI: 1093037673
Provider Name: ADVANCED PEDIATRIC AND NEONATAL MEDICINE, SC
Classification: Pediatrics - 2080N0001X
Entity Type: Organization

Specialization: Neonatal-Perinatal Medicine

Address:
473 W ARMY TRAIL RD
SUITE 103
BLOOMINGDALE, IL
ZIP 60108
Phone: (630) 529-6969
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ADVANCED PEDIATRIC AND NEONATAL MEDICINE, SC is a neonatal-perinatal medicine pediatrics in Bloomingdale, IL. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. ADVANCED PEDIATRIC AND NEONATAL MEDICINE, SC NPI is 1093037673. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

473 W ARMY TRAIL RD
SUITE 103
BLOOMINGDALE, IL
ZIP 60108-674
Phone: (630) 529-6969
Fax: (630) 529-7497

The provider's authorized official is Sang J Han .
The authorized official title is Owner and has the following contact phone number (630) 529-6969.

The enumeration date for this NPI number is 2/23/2010 and was last updated on 2/23/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080N0001X	Pediatrics	Neonatal-Perinatal Medicine	036061812	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	208000000X	OTHER	ILLINOIS	TAXONOMY
2	036061812	MEDICAID	ILLINOIS
3	C42815	MEDICARE UPIN	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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