Med-Peds Associates,P.C.

LBN: Med-Peds Associates,P.C.
Med-Peds Associates,P.C. is an health care organization with primary practice located at 375 N Wall St Ste P520, Kankakee IL 60901-3483. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Med-Peds Associates,P.C. can be contacted via phone (815) 933-0194, or through Mccuiston, Stonewall via phone (815) 933-0194.

Contact Information

Primary practice address
375 N Wall St Ste P520 Kankakee IL 60901-3483
Phone: (815) 933-0194
Fax: (815) 933-1444
Website:
Map and Directions
Authorized official contact:
Name: Mccuiston, Stonewall Doctor of Medicine (MD)
Phone: (815) 933-0194

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036074737 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036074737 Illinois

Profile Details

NPI number 1063538312
LBN Legal business name Med-Peds Associates,P.C.
DBA Doing business as
Authorized official Mccuiston, Stonewall Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2007
Last updated Oct 20th, 2010 - about 16 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 1063538312 NPPES
Illinois MEDICAID 036074737
Illinois Other 4623239

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