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PRESENCE HOSPITALS PRV NPI 1659740033


NPI Information

NPI: 1659740033
Provider Name: PRESENCE HOSPITALS PRV

Doing Business As: PRESENCE SAINT JOSEPH MEDICAL CENTER - PED/ENDO CLINIC

Classification: Pediatrics - 2080P0205X
Entity Type: Organization

Specialization: Pediatric Endocrinology

CLIA Number: 14D0419103

Address:
301 MADISON ST
SUITE 302
JOLIET, IL
ZIP 60435
Phone: (815) 405-6285
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PRESENCE HOSPITALS PRV is a pediatric endocrinology pediatrics in Joliet, IL. The provider is a pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. PRESENCE HOSPITALS PRV NPI is 1659740033. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Presence Saint Joseph Medical Center - Ped/endo Clinic.

The provider's business location address is:

301 MADISON ST
SUITE 302
JOLIET, IL
ZIP 60435-549
Phone: (815) 405-6285

The provider's authorized official is Deborah Schimerowski .
The authorized official title is Rfo and has the following contact phone number (217) 337-2740.

The CLIA number assigned to this NPI record is 14D0419103 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/16/2015 and was last updated on 9/16/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0205XPediatricsPediatric EndocrinologyYes

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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