SOUTH LOOP PEDIATRICS LLC NPI 1285128561

NPI Details

SOUTH LOOP PEDIATRICS, LLC is a pediatrics in Chicago, 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. SOUTH LOOP PEDIATRICS, LLC NPI is 1285128561. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2329 S MICHIGAN AVE
CHICAGO, IL
ZIP 60616-104
Phone: (312) 265-1244
Fax: (312) 265-1174

The provider's authorized official is Kimberly Therese Brown .
The authorized official title is Physician/owner and has the following contact phone number (312) 265-1244.

The CLIA number assigned to this NPI record is 14D2043889 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/19/2018 and was last updated on 5/18/2021.

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: