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Childrens Wellness Center Llc
Pediatric Nurse Practitioner in Orland Park, Illinois
NPI 1578748067

Childrens Wellness Center Llc is a Pediatric Nurse Practitioner based in Chicago Ridge, IL and is specialized in Pediatrics. Childrens Wellness Center Llc practices in Orland Park, IL. The NPI Number for Childrens Wellness Center Llc is 1578748067 and holds a License No. 036079532 (Illinois).

The current practice location address for Childrens Wellness Center Llc is 16505 106Th Ct, Orland Park, IL and can be reached out via phone at 708-364-1550 and via fax at 708-364-1468. You can also correspond with Childrens Wellness Center Llc through the mailing address at 9830 RIDGELAND AVE, CHICAGO RIDGE, IL - 60415-2667 (mailing address contact number: 708-636-8747).

Location: 16505 106Th Ct, Orland Park, IL, 60415-2667
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1578748067
Provider Name
Childrens Wellness Center Llc
Credential
Provider Entity Type
Organization
Address
16505 106Th Ct, Orland Park, IL, 60415-2667
Phone Number
708-364-1550
Fax Number
708-364-1468
Provider Enumeration Date
01/03/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1376971911 01 IL NPI
1669506390 01 IL NPI
1235263955 01 IL NPI
1912930348 01 IL NPI
1871714360 01 IL NPI
institution
Provider Business Practice Location Address Details
Address
16505 106Th Ct
City
Orland Park
State
Illinois
Zip
60467-4545
Phone Number
708-364-1550
Fax Number
708-364-1468
person
Provider Business Mailing Address Details
Address
16505 106Th Ct
City
Orland Park
State
Illinois
Zip
60467-4545
Phone Number
708-364-1550
Fax Number
708-364-1468
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036114693 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
036079532 (Illinois)
Definition
Definition to come...
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