Pediatric Associates Pc
LBN: Pediatric Associates Pc
Pediatric Associates Pc is an health care organization with primary practice located at 3749 W 95Th St , Evergreen Park IL 60805-2019. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty.
Pediatric Associates Pc can be contacted via phone (708) 422-6569, or through Arora, Subash C via phone (708) 422-6569.
Contact Information
Primary practice address
3749 W 95Th St
Evergreen Park IL 60805-2019
Phone: (708) 422-6569
Fax: (708) 499-1511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036-073878 | Illinois |
Profile Details
| NPI number | 1548337793 |
|---|---|
| LBN Legal business name | Pediatric Associates Pc |
| DBA Doing business as | |
| Authorized official | Arora, Subash C Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Nov 25th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548337793 | NPPES |
| Illinois | Other | 01632846 | BCBS |
| Illinois | MEDICAID | 036073878 | BCBS |
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