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CICERO PEDIATRICS NPI 1003100942


NPI Information

NPI: 1003100942
Provider Name: CICERO PEDIATRICS

Doing Business As: KHUDSIA IRFAN SC

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 14D2001108

Address:
5307 W CERMAK RD
CICERO, IL
ZIP 60804
Phone: (708) 477-6700
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CICERO PEDIATRICS is a pediatrics in Cicero, 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. CICERO PEDIATRICS NPI is 1003100942. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Khudsia Irfan Sc.

The provider's business location address is:

5307 W CERMAK RD
CICERO, IL
ZIP 60804-817
Phone: (708) 477-6700
Fax: (708) 477-6704

The provider's authorized official is Khudsia Rana Irfan .
The authorized official title is Owner and has the following contact phone number (630) 797-1411.

The CLIA number assigned to this NPI record is 14D2001108 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2011 and was last updated on 6/8/2011.


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
1208000000XPediatrics036120132ILLINOISYes

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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