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GURNEE PEDIATRICS S.C. NPI 1568569754


NPI Information

NPI: 1568569754
Provider Name: GURNEE PEDIATRICS, S.C.

Former Legal Business Name: GABRIEL PEDIATRICS, S.C.

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 14D0703970

Address:
15 TOWER CT
SUITE 150
GURNEE, IL
ZIP 60031
Phone: (847) 623-4464
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GURNEE PEDIATRICS, S.C. is a pediatrics in Gurnee, 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. GURNEE PEDIATRICS, S.C. NPI is 1568569754. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Gabriel Pediatrics, S.c..

The provider's business location address is:

15 TOWER CT
SUITE 150
GURNEE, IL
ZIP 60031
Phone: (847) 623-4464
Fax: (847) 623-9984

The provider's authorized official is Faye C. Master .
The authorized official title is Co Owner and has the following contact phone number (847) 623-4464.

The CLIA number assigned to this NPI record is 14D0703970 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2006 and was last updated on 7/9/2021.


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
1208000000XPediatrics036046907ILLINOISYes

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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