Parkside Pediatrics, S.C.
Pediatrics in Park Ridge, IL. Organization (NPI-2).
NPI number1649392002
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1649392002
- Entity type
- Organization (NPI-2)
- Legal business name
- Parkside Pediatrics, S.C.
- Organization subpart
- No
- Enumeration date
- Apr 5, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 042006715 | IL | Yes |
Practice location
1875 Dempster StSuite 650
Park Ridge, IL 60068-1186
Phone 847-823-8000
Mailing address
1875 Dempster StSuite 650
Park Ridge, IL 60068-1186
Phone 847-823-8000
Authorized official
Patricia Cotsirilos Stec
President
8478238000
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