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WOODFIELD PEDIATRICS SC NPI 1881609287


NPI Information

NPI: 1881609287
Provider Name: WOODFIELD PEDIATRICS SC
Classification: Pediatrics - 2080A0000X
Entity Type: Organization

Specialization: Adolescent Medicine

CLIA Number: 14D0416506

Address:
1345 WILEY RD
STE 117
SCHAUMBURG, IL
ZIP 60173
Phone: (847) 884-9440
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WOODFIELD PEDIATRICS SC is an adolescent medicine pediatrics in Schaumburg, IL. The provider is a pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. WOODFIELD PEDIATRICS SC NPI is 1881609287. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1345 WILEY RD
STE 117
SCHAUMBURG, IL
ZIP 60173
Phone: (847) 884-9440
Fax: (847) 884-8051

The provider's authorized official is Ronald Joseph Boduch .
The authorized official title is Ms and has the following contact phone number (847) 884-9440.

The CLIA number assigned to this NPI record is 14D0416506 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/31/2006 and was last updated on 10/23/2007.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12080A0000XPediatricsAdolescent MedicineILLINOISYes

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: 5/5/2024

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