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Kidsmd PC

Pediatrics in Willowbrook, IL. Organization (NPI-2).

NPI number1497341663
StatusActive
Last updated in NPPESDec 11, 2020

Details

NPI
1497341663
Entity type
Organization (NPI-2)
Legal business name
Kidsmd PC
Organization subpart
No
Enumeration date
Dec 11, 2020
Certification date
Dec 11, 2020
Last updated
Dec 11, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208000000X Pediatrics––Yes

Practice location

6827 Kingery Hwy
Willowbrook, IL 60527-5154

Phone 917-686-5676

Mailing address

37 Ridgefield Ln
Willowbrook, IL 60527-5200

Phone 917-686-5676

Authorized official

Taaha Shakir
Owner
9176865676

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