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PEDIATRIC HEALTHCARE UNLIMITED NPI 1982766390


NPI Information

NPI: 1982766390
Provider Name: PEDIATRIC HEALTHCARE UNLIMITED
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 14D1023993

Address:
4 MEMORIAL DR.
STE. 110
ALTON, IL
ZIP 62002
Phone: (618) 474-1711
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PEDIATRIC HEALTHCARE UNLIMITED is a pediatrics in Alton, 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. PEDIATRIC HEALTHCARE UNLIMITED NPI is 1982766390. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4 MEMORIAL DR.
STE. 110
ALTON, IL
ZIP 62002
Phone: (618) 474-1711
Fax: (618) 474-2793

The provider's authorized official is Kathie R Wuellner .
The authorized official title is Owner/president and has the following contact phone number (618) 474-1711.

The CLIA number assigned to this NPI record is 14D1023993 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 7/26/2018.


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
1208000000XPediatricsYes

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
1801561640000MEDICAIDILLINOIS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.