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CHILDREN & TEENSMEDICAL CENTER NPI 1033220777


NPI Information

NPI: 1033220777
Provider Name: CHILDREN & TEENSMEDICAL CENTER
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 14D0417114

Address:
1701 W WISE RD
SCHAUMBURG, IL
ZIP 60193
Phone: (847) 895-2900
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CHILDREN & TEENSMEDICAL CENTER is a pediatrics in Schaumburg, 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. CHILDREN & TEENSMEDICAL CENTER NPI is 1033220777. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1701 W WISE RD
SCHAUMBURG, IL
ZIP 60193-553
Phone: (847) 895-2900
Fax: (847) 805-4600

The provider's authorized official is Michael R O'donnell .
The authorized official title is President and has the following contact phone number (847) 895-2900.

The CLIA number assigned to this NPI record is 14D0417114 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/22/2020.


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
1208000000XPediatrics36093574ILLINOISYes

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
136093574MEDICAIDILLINOIS

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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