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14D2149037 CLIA NUMBER - WHOLE HEALTH MAMA PEDIATRICS

Laboratory Demographics

CLIA Number: 14D2149037

Facility Name: WHOLE HEALTH MAMA PEDIATRICS

Facility Address:
7330 W COLLEGE DR - STE 201
PALOS HEIGHTS, IL
ZIP 60463
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Facility Phone Number: 312 218-8748

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1073025045

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 14D2149037
LAB Type Physician Office
Facility Name WHOLE HEALTH MAMA PEDIATRICS
Street 7330 W COLLEGE DR - STE 201
City PALOS HEIGHTS
State IL
ZIP 60463
Phone 312 218-8748
CertificateType 4
CertificateEffectiveDate 5/23/2022
CertificateExpirationDate 5/22/2024
FacilityType Waiver

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