BARD AND DIDRIKSEN PEDIATRICS P.C. NPI 1669553186

NPI Details

BARD AND DIDRIKSEN PEDIATRICS, P.C. is a pediatrics in Glen Carbon, 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. BARD AND DIDRIKSEN PEDIATRICS, P.C. NPI is 1669553186. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2160 SO IL RT 157
SUITE B
GLEN CARBON, IL
ZIP 62034
Phone: (618) 692-1212
Fax: (618) 692-4875

The provider's authorized official is Stephanie Marie Sudholt .
The authorized official title is Office Manager and has the following contact phone number (618) 692-1212.

The CLIA number assigned to this NPI record is 14D0433433 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/18/2006 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: