Provider Type Icon

CHILDREN'S PHYSICIAN GROUP NPI 1548436413


NPI Information

NPI: 1548436413
Provider Name: CHILDREN'S PHYSICIAN GROUP

Other Name: GLENVIEW CLINIC

Classification: Dermatology - 207NP0225X
Entity Type: Organization

Specialization: Pediatric Dermatology

Address:
2401 RAVINE WAY
SUITE 101
GLENVIEW, IL
ZIP 60025
Phone: (847) 662-4380
Get Directions

CHILDREN'S PHYSICIAN GROUP is a pediatric dermatology dermatology in Glenview, IL. The provider is a pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. CHILDREN'S PHYSICIAN GROUP NPI is 1548436413. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Glenview Clinic.

The provider's business location address is:

2401 RAVINE WAY
SUITE 101
GLENVIEW, IL
ZIP 60025-645
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 enumeration date for this NPI number is 5/1/2008 and was last updated on 11/12/2012.


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
1207NP0225XDermatologyPediatric DermatologyYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.