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CHILDREN'S PHYSICIAN GROUP NPI 1154597029


NPI Information

NPI: 1154597029
Provider Name: CHILDREN'S PHYSICIAN GROUP

Doing Business As: ALGONQUIN CLINIC

Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Organization

Specialization: Neurology with Special Qualifications in Child Neurology

CLIA Number: 14D0896534

Address:
1473 COMMERCE DR
ALGONQUIN, IL
ZIP 60102
Phone: (847) 662-4380
Get Directions

CHILDREN'S PHYSICIAN GROUP is a neurology with special qualifications in child neurology psychiatry neurology in Algonquin, IL. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. CHILDREN'S PHYSICIAN GROUP NPI is 1154597029. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Algonquin Clinic.

The provider's business location address is:

1473 COMMERCE DR
ALGONQUIN, IL
ZIP 60102-916
Phone: (847) 662-4380
Fax: (847) 662-3557

The provider's authorized official is Thomas Dunigan .
The authorized official title is President, Children's Physician Grp and has the following contact phone number (414) 266-7615.

The CLIA number assigned to this NPI record is 14D0896534 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2008 and was last updated on 6/26/2008.


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
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyYes

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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