Evolve Pediatrics, Llc

LBN: Evolve Pediatrics, Llc
Evolve Pediatrics, Llc is an health care organization with primary practice located at 10743 W 159Th St , Orland Park IL 60467-4531. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Evolve Pediatrics, Llc can be contacted via phone (708) 349-3030, or through Stull, Linda via phone (708) 349-3030.

Contact Information

Primary practice address
10743 W 159Th St Orland Park IL 60467-4531
Phone: (708) 349-3030
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stull, Linda Doctor of Medicine (MD)
Phone: (708) 349-3030

Health care specialties

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

Profile Details

NPI number 1700075454
LBN Legal business name Evolve Pediatrics, Llc
DBA Doing business as
Authorized official Stull, Linda Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2007
Last updated Jun 24th, 2019 - about 7 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 1700075454 NPPES
Illinois Other 1622748 BLUE SHIELD

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