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ENGLEWOOD PEDIATRICS SC NPI 1871081430


NPI Information

NPI: 1871081430
Provider Name: ENGLEWOOD PEDIATRICS SC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
6307 S STEWART AVE STE 302
CHICAGO, IL
ZIP 60621
Phone: (773) 874-3005
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ENGLEWOOD PEDIATRICS SC is a pediatrics in Chicago, 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. ENGLEWOOD PEDIATRICS SC NPI is 1871081430. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6307 S STEWART AVE STE 302
CHICAGO, IL
ZIP 60621-116
Phone: (773) 874-3005
Fax: (773) 874-3305

The provider's authorized official is Farzana Izhar .
The authorized official title is Md and has the following contact phone number (773) 874-3005.

The enumeration date for this NPI number is 4/28/2018 and was last updated on 5/7/2018.


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
1208000000XPediatrics036-097206ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1036-097206MEDICAIDILLINOIS

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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