Elm Street Pediatrics in Winnetka - Specialist
Elm Street Pediatrics - NPI 1033124714
Elm Street Pediatrics is a Specialist in Winnetka, Illinois. Elm Street Pediatrics practices all healthcare services and medical treatments related to Specialist. The NPI Number for Elm Street Pediatrics is 1033124714. The last update date is 2020-08-22.
Elm Street Pediatrics's current location address is 716 Elm St, Winnetka, Illinois. You can contact this provider via phone number 8475014040 and fax number 8475014075. The mailing address for Elm Street Pediatrics is 716 Elm St, Winnetka, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Elm Street Pediatrics |
|---|---|
| Address | 716 Elm St, Winnetka, Illinois |
| Phone Number | 8475014040 |
| Fax Number | 8475014075 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/MD |
|---|---|
| Authorized Official Name | Nelson J Susan |
| Credentials | MD |
| Telephone Number | 8475014040 |
NPI Number Detail
| NPI Number | 1033124714 |
|---|---|
| Provider Enumeration Date | 2006-07-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 716 Elm St |
|---|---|
| City | Winnetka |
| State | Illinois (IL) |
| Post Code | 600932556 |
| Phone Number | 8475014040 |
| Fax Number | 8475014075 |
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. |
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Post Comment/ Review Below
What is the unique identifier code issued to Elm Street Pediatrics by the Centers for Medicare & Medicaid Services?
The Elm Street Pediatrics has been assigned the NPI (National Provider Identifier) 1033124714. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Elm Street Pediatrics's physical address?
The Elm Street Pediatrics is physically located at 716 Elm St, in the city of Winnetka, IL, with the postal code 600932556.
What is Elm Street Pediatrics's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Elm Street Pediatrics is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1033124714 to Elm Street Pediatrics?
The Elm Street Pediatrics received its 1033124714 assignment from the Centers for Medicare & Medicaid Services on 2006-07-30.
When was the information pertaining to Elm Street Pediatrics most recently updated or revised?
The details related to Elm Street Pediatrics, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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