PRESENCE HOSPITALS PRV NPI 1659740033

NPI Details

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: