Chicagoland Community Pediatric Cardiology Sc - Chicago, IL

Chicagoland Community Pediatric Cardiology Sc

Medical Specialty Clinic/Center in Chicago, Illinois

NPI 1407032022

Chicagoland Community Pediatric Cardiology Sc is a Medical Specialty Clinic/Center based in Chicago, IL and is specialized in Medical Specialty. Chicagoland Community Pediatric Cardiology Sc practices in Chicago, IL. The NPI Number for Chicagoland Community Pediatric Cardiology Sc is 1407032022 and holds a License No. 042007521 (Illinois).

The current practice location address for Chicagoland Community Pediatric Cardiology Sc is 2923 N California Ave, Chicago, IL and can be reached out via phone at 312-951-5800 and via fax at 312-951-5816.

Location: 2923 N California Ave, Chicago, IL, 60618-4677

NPI Number

1407032022

Provider Name

Chicagoland Community Pediatric Cardiology Sc

Credential

Provider Entity Type

Organization

Address

2923 N California Ave, Chicago, IL, 60618-4677

Phone Number

312-951-5800

Fax Number

312-951-5816

Provider Enumeration Date

01/14/2008

Last Update Date

08/17/2024

Identifier	Type	State	Issuer
036072228	05	IL
036100179	05	IL
042007521	01	IL	STATE LICENSE

Address

2923 N California Ave

City

Chicago

State

Illinois

Zip

60618-4677

Phone Number

312-951-5800

Fax Number

312-951-5816

Address

2923 N California Ave

City

Chicago

State

Illinois

Zip

60618-4677

Phone Number

312-951-5800

Fax Number

312-951-5816

Type

Ambulatory Health Care Facilities

Classification

Clinic/Center

Speciality

Medical Specialty

Taxonomy

261QM2500X

License No.

042007521 (Illinois)

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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