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123 PEDIATRICS S.C. NPI 1609957018


NPI Information

NPI: 1609957018
Provider Name: 123 PEDIATRICS, S.C.

Doing Business As: 1-2-3 PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 14D1052048

Address:
2380 S EOLA RD
SUITE 102
AURORA, IL
ZIP 60503
Phone: (630) 978-7337
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123 PEDIATRICS, S.C. is a pediatrics in Aurora, 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. 123 PEDIATRICS, S.C. NPI is 1609957018. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As 1-2-3 Pediatrics.

The provider's business location address is:

2380 S EOLA RD
SUITE 102
AURORA, IL
ZIP 60503-489
Phone: (630) 978-7337
Fax: (630) 978-1341

The provider's authorized official is Kevin Lue .
The authorized official title is President and has the following contact phone number (630) 978-7337.

The CLIA number assigned to this NPI record is 14D1052048 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/19/2006 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
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: 11/14/2023

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