Med-Peds Associates,P.C. in Kankakee - Pediatrics
Med-Peds Associates,P.C. - NPI 1063538312
Med-Peds Associates,P.C. is a Pediatrics in Kankakee, Illinois. Med-Peds Associates,P.C. practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Med-Peds Associates,P.C. is 1063538312. The last update date is 2010-10-20.
Med-Peds Associates,P.C.'s current location address is 375 N Wall St, Kankakee, Illinois. You can contact this provider via phone number 8159330194 and fax number 8159331444. The mailing address for Med-Peds Associates,P.C. is 375 N Wall St, Kankakee, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Med-Peds Associates,P.C. |
|---|---|
| Address | 375 N Wall St, Kankakee, Illinois |
| Phone Number | 8159330194 |
| Fax Number | 8159331444 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Mccuiston Stonewall |
| Credentials | M.D. |
| Telephone Number | 8159330194 |
NPI Number Detail
| NPI Number | 1063538312 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2010-10-20 |
Provider Mailing Address Detail
| Address | 375 N Wall St |
|---|---|
| City | Kankakee |
| State | Illinois (IL) |
| Post Code | 609013483 |
| Phone Number | 8159330194 |
| Fax Number | 8159331444 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 36074737 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36074737 | IL | -- | |
| 4623239 | IL | BLUE CROSS/BLUE SHIELD OF ILLI |
Post Comment/ Review Below
What is the unique identifier code issued to Med-Peds Associates,P.C. by the Centers for Medicare & Medicaid Services?
The Med-Peds Associates,P.C. has been assigned the NPI (National Provider Identifier) 1063538312. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Med-Peds Associates,P.C. is geographically located?
The Med-Peds Associates,P.C. is physically situated at the following location: 375 N Wall St, Kankakee, IL, 609013483.
What is the Med-Peds Associates,P.C.'s area of specialization and corresponding taxonomy classification?
The Med-Peds Associates,P.C.'s specialty field is Pediatrics, and it falls under the taxonomy code 208000000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063538312 to Med-Peds Associates,P.C.?
The Centers for Medicare & Medicaid Services originally issued the 1063538312 to Med-Peds Associates,P.C. on 2007-03-21.
As of what date were the Med-Peds Associates,P.C.'s details last updated?
The information pertaining to the Med-Peds Associates,P.C., including its address, specialty, and other details, was most recently updated on 2010-10-20.