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PEDIATRIC HEALTH PARTNERS S.C. NPI 1194865287


NPI Information

NPI: 1194865287
Provider Name: PEDIATRIC HEALTH PARTNERS, S.C.
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 14D0881430

Address:
10436 SOUTHWEST HWY
CHICAGO RIDGE, IL
ZIP 60415
Phone: (708) 636-0700
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PEDIATRIC HEALTH PARTNERS, S.C. is a pediatrics in Chicago Ridge, IL. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. PEDIATRIC HEALTH PARTNERS, S.C. NPI is 1194865287. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10436 SOUTHWEST HWY
CHICAGO RIDGE, IL
ZIP 60415-282
Phone: (708) 636-0700
Fax: (708) 636-3849

The provider's authorized official is Mary Ann Collins .
The authorized official title is M.d. and has the following contact phone number (708) 636-0700.

The CLIA number assigned to this NPI record is 14D0881430 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 8/22/2020.


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
1208000000XPediatricsYes

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

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