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CITY CENTER HEALTH CARE NPI 1245874635


NPI Information

NPI: 1245874635
Provider Name: CITY CENTER HEALTH CARE
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 14D0893962

Address:
300 N OTTAWA ST
JOLIET, IL
ZIP 60432
Phone: (815) 726-0311
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CITY CENTER HEALTH CARE is a pediatrics in Joliet, 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. CITY CENTER HEALTH CARE NPI is 1245874635. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 N OTTAWA ST
JOLIET, IL
ZIP 60432-009
Phone: (815) 726-0311
Fax: (815) 726-0520

The provider's authorized official is Shanthi R Gopi .
The authorized official title is President and has the following contact phone number (815) 726-0311.

The CLIA number assigned to this NPI record is 14D0893962 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/29/2019 and was last updated on 10/29/2019.


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
1208000000XPediatricsYes

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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