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AUSTIN STREET PEDIATRICS LLC NPI 1790951317


NPI Information

NPI: 1790951317
Provider Name: AUSTIN STREET PEDIATRICS, LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
800 AUSTIN ST
SUITE 463, EAST TOWER
EVANSTON, IL
ZIP 60202
Phone: (847) 475-8711
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AUSTIN STREET PEDIATRICS, LLC is a pediatrics in Evanston, 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. AUSTIN STREET PEDIATRICS, LLC NPI is 1790951317. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

800 AUSTIN ST
SUITE 463, EAST TOWER
EVANSTON, IL
ZIP 60202-439
Phone: (847) 475-8711
Fax: (847) 475-2513

The provider's authorized official is Ranulfo Cabrera .
The authorized official title is Owner and has the following contact phone number (847) 475-8711.

The enumeration date for this NPI number is 5/4/2008 and was last updated on 5/4/2008.


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
1208000000XPediatrics036-068428ILLINOISYes

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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