City Center Health Care
Pediatrics in Joliet, IL. Organization (NPI-2).
NPI number1245874635
StatusActive
Last updated in NPPESOct 29, 2019
Details
- NPI
- 1245874635
- Entity type
- Organization (NPI-2)
- Legal business name
- City Center Health Care
- Organization subpart
- No
- Enumeration date
- Oct 29, 2019
- Last updated
- Oct 29, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Other names
- Shanthi R Gopi (Doing Business As)
Practice location
300 N Ottawa StJoliet, IL 60432-4009
Phone 815-726-0311 · Fax 815-726-0520
Mailing address
12 Kimberley CirOak Brook, IL 60523-1719
Phone 630-299-6961
Authorized official
Shanthi R Gopi
President
8157260311
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All 25 Pediatrics Physician providers in Joliet · All 2,927 providers in Joliet
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