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CHICAGO PEDIATRIC & NEONATOLOGY SC NPI 1679748503


NPI Information

NPI: 1679748503
Provider Name: CHICAGO PEDIATRIC & NEONATOLOGY SC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 14D1029585

Address:
7447 W TALCOTT AVE STE 561
CHICAGO, IL
ZIP 60631
Phone: (773) 467-8866
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CHICAGO PEDIATRIC & NEONATOLOGY SC is a pediatrics in Chicago, 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. CHICAGO PEDIATRIC & NEONATOLOGY SC NPI is 1679748503. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7447 W TALCOTT AVE STE 561
CHICAGO, IL
ZIP 60631-716
Phone: (773) 467-8866
Fax: (773) 467-8886

The provider's authorized official is Halina Aniol .
The authorized official title is Md and has the following contact phone number (773) 467-8866.

The CLIA number assigned to this NPI record is 14D1029585 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/22/2008 and was last updated on 4/22/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics036079081ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1036079081MEDICAIDILLINOIS

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: 4/28/2024

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