Preventive Pediatrics, Ltd
LBN: Preventive Pediatrics, Ltd
Preventive Pediatrics, Ltd is an health care organization with primary practice located at 10448 S Pulaski Rd Ste 1 , Oak Lawn IL 60453-4895. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty.
Preventive Pediatrics, Ltd can be contacted via phone (708) 346-7000, or through Cueva, John P via phone (708) 346-7000.
Contact Information
Primary practice address
10448 S Pulaski Rd Ste 1
Oak Lawn IL 60453-4895
Phone: (708) 346-7000
Fax: (708) 346-6180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036085818 | Illinois |
Profile Details
| NPI number | 1578580429 |
|---|---|
| LBN Legal business name | Preventive Pediatrics, Ltd |
| DBA Doing business as | |
| Authorized official | Cueva, John P Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 16th, 2006 |
| Last updated | Jan 6th, 2023 - about 3 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 | 1578580429 | NPPES |
| Illinois | Other | 01620924 | BLUE SHIELD |
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