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MED-PEDS SPECIALISTS S.C. NPI 1790848877


NPI Information

NPI: 1790848877
Provider Name: MED-PEDS SPECIALISTS S.C.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 14D1024833

Address:
15614 S HARLEM AVE
SUITE D
ORLAND PARK, IL
ZIP 60462
Phone: (708) 444-0097
Get Directions

MED-PEDS SPECIALISTS S.C. is an internal medicine in Orland Park, IL. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. MED-PEDS SPECIALISTS S.C. NPI is 1790848877. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15614 S HARLEM AVE
SUITE D
ORLAND PARK, IL
ZIP 60462-402
Phone: (708) 444-0097
Fax: (708) 444-8252

The provider's authorized official is Alicja Kraska .
The authorized official title is Manager and has the following contact phone number (708) 444-0097.

The CLIA number assigned to this NPI record is 14D1024833 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 12/6/2012.


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
1208000000XPediatricsNo
2207R00000XInternal Medicine042618236ILLINOISYes

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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