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MILLENNIUM PEDIATRICS LLC NPI 1992870984


NPI Information

NPI: 1992870984
Provider Name: MILLENNIUM PEDIATRICS LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 14D1012096

Address:
1012 WEST 95TH ST
SUITE 4
NAPERVILLE, IL
ZIP 60564
Phone: (630) 548-1100
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MILLENNIUM PEDIATRICS LLC is a pediatrics in Naperville, 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. MILLENNIUM PEDIATRICS LLC NPI is 1992870984. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1012 WEST 95TH ST
SUITE 4
NAPERVILLE, IL
ZIP 60564
Phone: (630) 548-1100

The provider's authorized official is Chad C Olsen .
The authorized official title is Member Chief Medical Officer and has the following contact phone number (630) 548-1100.

The CLIA number assigned to this NPI record is 14D1012096 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/22/2006 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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

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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