Organization · NPI-2

Hinsdale Pediatric Assoc.,s.C.

Pediatrics, Hospice and Palliative Medicine · Hinsdale, IL

NPI number1285757245
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1285757245
Entity type
Organization (NPI-2)
Legal business name
Hinsdale Pediatric Assoc.,s.C.
Organization subpart
No
Enumeration date
Apr 6, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080H0002X Pediatrics, Hospice and Palliative Medicine042-000528ILYes

Practice location

911 N Elm St
Suite 115
Hinsdale, IL 60521-3634

Phone 630-323-0890 · Fax 630-323-9652

Mailing address

911 N Elm St
Suite 115
Hinsdale, IL 60521-3634

Phone 630-323-0890 · Fax 630-323-9652

Authorized official

Nafeesa A Moosabhoy
President
6303230890

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