Midwest Pediatric Cardiology, P.C.

LBN: Midwest Pediatric Cardiology, P.C.
Midwest Pediatric Cardiology, P.C. is an health care organization with primary practice located at 4440 W 95Th St , Oak Lawn IL 60453-2600. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as the primary health care specialty. Midwest Pediatric Cardiology, P.C. can be contacted via phone (708) 684-5580, or through Roberson, David via phone (708) 684-5580.

Contact Information

Primary practice address
4440 W 95Th St Oak Lawn IL 60453-2600
Phone: (708) 684-5580
Fax: (708) 684-4068
Website:
Map and Directions
Authorized official contact:
Name: Roberson, David Doctor of Medicine (MD)
Phone: (708) 684-5580

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X

Profile Details

NPI number 1962483669
LBN Legal business name Midwest Pediatric Cardiology, P.C.
DBA Doing business as
Authorized official Roberson, David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2005
Last updated Sep 14th, 2007 - about 19 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 1962483669 NPPES
Other 1617609 BCBS OF ILLINOIS

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