Herrin Pediatrics

LBN: Herrin Pediatrics
Herrin Pediatrics is an health care organization with primary practice located at 121 N 13Th St , Herrin IL 62948-3248. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Herrin Pediatrics can be contacted via phone (618) 988-6600, or through Shanmugam, Chamundambika via phone (618) 988-6600.

Contact Information

Primary practice address
121 N 13Th St Herrin IL 62948-3248
Phone: (618) 988-6600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shanmugam, Chamundambika Doctor of Medicine (MD)
Phone: (618) 988-6600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036114856 Illinois

Profile Details

NPI number 1568621928
LBN Legal business name Herrin Pediatrics
DBA Doing business as
Authorized official Shanmugam, Chamundambika Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2008
Last updated Jun 12th, 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 1568621928 NPPES
Illinois MEDICAID 036114856

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