Northside-Suburban Pediatric Associates, S.C. in Chicago - Specialist
Northside-Suburban Pediatric Associates, S.C. - NPI 1902802770
Northside-Suburban Pediatric Associates, S.C. is a Specialist in Chicago, Illinois. Northside-Suburban Pediatric Associates, S.C. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Northside-Suburban Pediatric Associates, S.C. is 1902802770. The last update date is 2020-08-22.
Northside-Suburban Pediatric Associates, S.C.'s current location address is 4801 W Peterson Ave, Chicago, Illinois. You can contact this provider via phone number 7737775437 and fax number 7737777567. The mailing address for Northside-Suburban Pediatric Associates, S.C. is 4801 W Peterson Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northside-Suburban Pediatric Associates, S.C. |
|---|---|
| Address | 4801 W Peterson Ave, Chicago, Illinois |
| Phone Number | 7737775437 |
| Fax Number | 7737777567 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Deutsch Mary |
| Telephone Number | 7737775437 |
NPI Number Detail
| NPI Number | 1902802770 |
|---|---|
| Provider Enumeration Date | 2005-06-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4801 W Peterson Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606465795 |
| Phone Number | 7737775437 |
| Fax Number | 7737777567 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1615555 | IL | BLUE SHIELD PROVIDER # |
Post Comment/ Review Below
What is the unique identifier code issued to Northside-Suburban Pediatric Associates, S.C. by the Centers for Medicare & Medicaid Services?
The Northside-Suburban Pediatric Associates, S.C. has been assigned the NPI (National Provider Identifier) 1902802770. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Northside-Suburban Pediatric Associates, S.C. is located?
The Northside-Suburban Pediatric Associates, S.C. is situated at the following address: 4801 W Peterson Ave, Chicago, IL, 606465795.
What is Northside-Suburban Pediatric Associates, S.C.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Northside-Suburban Pediatric Associates, S.C. is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
When was the Northside-Suburban Pediatric Associates, S.C.'s 1902802770 issued?
The Northside-Suburban Pediatric Associates, S.C.'s 1902802770 was issued on 2005-06-24.
When was the information pertaining to Northside-Suburban Pediatric Associates, S.C. most recently updated or revised?
The details related to Northside-Suburban Pediatric Associates, S.C., including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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