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14D1052048 CLIA NUMBER - 1-2-3 PEDIATRICS

Laboratory Demographics

CLIA Number: 14D1052048

Facility Name: 1-2-3 PEDIATRICS

Facility Address:
3925 75TH STREET, SUITE 105
AURORA, IL
ZIP 60504
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Facility Phone Number: 630 978-7337

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1609957018

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 14D1052048
LAB Type Physician Office
Facility Name 1-2-3 PEDIATRICS
Street 3925 75TH STREET, SUITE 105
City AURORA
State IL
ZIP 60504
Phone 630 978-7337
CertificateType 4
CertificateEffectiveDate 3/16/2024
CertificateExpirationDate 3/15/2026
FacilityType Waiver

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