Children'S Hospital Of Wisconsin Clinics-Vernon Hills
Pediatrics, Neurodevelopmental Disabilities in Vernon Hills, IL. Organization (NPI-2).
NPI number1053586180
StatusActive
Last updated in NPPESJan 22, 2016
Details
- NPI
- 1053586180
- Entity type
- Organization (NPI-2)
- Legal business name
- Children'S Hospital Of Wisconsin Clinics-Vernon Hills
- Organization subpart
- Yes
- Enumeration date
- Apr 29, 2008
- Last updated
- Jan 22, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0008X | Pediatrics, Neurodevelopmental Disabilities | – | – | Yes |
| 207NP0225X | Dermatology, Pediatric Dermatology | – | – | |
| 2080P0202X | Pediatrics, Pediatric Cardiology | – | – |
Other names
- Children'S Physician Group (Other Name)
Practice location
701 Woodlands PkwySuite 200
Vernon Hills, IL 60061-3101
Phone 847-793-5450
Mailing address
9000 W Wisconsin AveMs 8000
Milwaukee, WI 53226-4874
Phone 414-266-7615
Authorized official
Thoms Dunigan
President, Children'S Physician Grp
4142667615
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