Bloomingdale General Pediatrics

LBN: Bloomingdale General Pediatrics
Bloomingdale General Pediatrics is an health care organization with primary practice located at 109 Fairfield Way Suite 103, Bloomingdale IL 60108-1583. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Bloomingdale General Pediatrics can be contacted via phone (630) 894-3250, or through Pascual, Edwin via phone (630) 894-3250.

Contact Information

Primary practice address
109 Fairfield Way Suite 103 Bloomingdale IL 60108-1583
Phone: (630) 894-3250
Fax: (630) 894-3280
Website:
Map and Directions
Authorized official contact:
Name: Pascual, Edwin Doctor of Medicine (MD)
Phone: (630) 894-3250

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036067770 Illinois

Profile Details

NPI number 1295822120
LBN Legal business name Bloomingdale General Pediatrics
DBA Doing business as
Authorized official Pascual, Edwin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2006
Last updated May 20th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295822120 NPPES
Illinois MEDICAID 036083477
Illinois Other 0002201004
Illinois MEDICAID 036067770

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