Pediatric Center Of Chicago
Pediatrics in Chicago, IL. Organization (NPI-2).
NPI number1609804129
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1609804129
- Entity type
- Organization (NPI-2)
- Legal business name
- Pediatric Center Of Chicago
- Organization subpart
- No
- Enumeration date
- Jun 30, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | – | – | Yes |
Practice location
550 W WebsterSte 306
Chicago, IL 60614
Phone 773-883-3549 · Fax 773-883-3550
Mailing address
550 W WebsterSte 306
Chicago, IL 60614
Phone 773-883-3549 · Fax 773-883-3550
Authorized official
Howard B Levy
President
7738833957
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