PEDIATRIC WALK-IN LLC NPI 1649642547

NPI Information

NPI: 1649642547
Provider Name: PEDIATRIC WALK-IN, LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
109 W LEGION AVE
COLUMBIA, IL
ZIP 62236
Phone: (618) 281-4325
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PEDIATRIC WALK-IN, LLC is an urgent care clinic center in Columbia, IL. PEDIATRIC WALK-IN, LLC NPI is 1649642547. The provider is registered as an organization entity type.

The provider's business location address is:

109 W LEGION AVE
COLUMBIA, IL
ZIP 62236-341
Phone: (618) 281-4325
Fax: (618) 208-1313

The provider's authorized official is Joseph Cangas .
The authorized official title is Ceo and has the following contact phone number (618) 281-4325.

The enumeration date for this NPI number is 10/30/2015 and was last updated on 10/30/2015.

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
1	261QU0200X	Clinic/Center	Urgent Care	036110913	ILLINOIS	Yes

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

NPI Synchronization or Removal

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