Lake County Pediatrics Sc in Gurnee - Pediatrics
Lake County Pediatrics Sc - NPI 1114102530
Lake County Pediatrics Sc is a Pediatrics in Gurnee, Illinois. Lake County Pediatrics Sc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Lake County Pediatrics Sc is 1114102530. The last update date is 2008-01-03.
Lake County Pediatrics Sc's current location address is 200 S Greenleaf Ave, Gurnee, Illinois. You can contact this provider via phone number 8473360770 and fax number 8473360159. The mailing address for Lake County Pediatrics Sc is 200 S Greenleaf Ave, Gurnee, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake County Pediatrics Sc |
|---|---|
| Address | 200 S Greenleaf Ave, Gurnee, Illinois |
| Phone Number | 8473360770 |
| Fax Number | 8473360159 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Tanquilut Juco Marlene |
| Credentials | MD |
| Telephone Number | 8473360770 |
NPI Number Detail
| NPI Number | 1114102530 |
|---|---|
| Provider Enumeration Date | 2008-01-03 |
| Last Updated Date | 2008-01-03 |
Provider Mailing Address Detail
| Address | 200 S Greenleaf Ave |
|---|---|
| City | Gurnee |
| State | Illinois (IL) |
| Post Code | 60031 |
| Phone Number | 8473360770 |
| Fax Number | 8473360159 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
|
Definition: 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 |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to Lake County Pediatrics Sc?
The Lake County Pediatrics Sc has been issued the NPI (National Provider Identifier) 1114102530 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Lake County Pediatrics Sc located?
The Lake County Pediatrics Sc is located at 200 S Greenleaf Ave, Gurnee, IL 60031.
What is Lake County Pediatrics Sc's area of expertise and its corresponding taxonomy classification?
The Lake County Pediatrics Sc's field of specialization is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their areas of practice.
When did Lake County Pediatrics Sc receive its 1114102530 assignment?
The Lake County Pediatrics Sc was assigned its 1114102530 on 2008-01-03, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Lake County Pediatrics Sc most recently updated or revised?
The details related to Lake County Pediatrics Sc, including its address, specialty, and other relevant information, were last updated or revised on 2008-01-03.