NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES S.C. NPI 1902802770

NPI Information

NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C. is a specialist in Chicago, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. NORTHSIDE-SUBURBAN PEDIATRIC ASSOCIATES, S.C. NPI is 1902802770. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4801 W PETERSON AVE
STE 506
CHICAGO, IL
ZIP 60646-795
Phone: (773) 777-5437
Fax: (773) 777-7567

The provider's authorized official is Mary Deutsch .
The authorized official title is Administrator/manager and has the following contact phone number (773) 777-5437.

The enumeration date for this NPI number is 6/24/2005 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:

Other Identifiers

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