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14D0945965 CLIA NUMBER - PILSEN COMMUNITY PEDIATRICS S C

Laboratory Demographics

CLIA Number: 14D0945965

Facility Name: PILSEN COMMUNITY PEDIATRICS S C

Facility Address:
2738 W CERMAK RD
CHICAGO, IL
ZIP 60608
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Facility Phone Number: 773 376-1906

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1760561617

Taxonomy: 208000000X - Pediatrics
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.

CLIA Record

Field Name Field Value
CLIA Number 14D0945965
LAB Type Physician Office
Facility Name PILSEN COMMUNITY PEDIATRICS S C
Street 2738 W CERMAK RD
City CHICAGO
State IL
ZIP 60608
Phone 773 376-1906
CertificateType 3
CertificateEffectiveDate 5/14/2024
CertificateExpirationDate 5/13/2026
FacilityType PPMP

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This page was last updated on: 4/23/2024