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Med Peds Associates
Non-Pharmacy Dispensing Site in Kankakee, Illinois
NPI 1649353970

Med Peds Associates is a Non-Pharmacy Dispensing Site based in Kankakee, IL. Med Peds Associates practices in Kankakee, IL. The NPI Number for Med Peds Associates is 1649353970 and holds a License No. 036074737 (Illinois).

The current practice location address for Med Peds Associates is 375 N Wall St Ste P520, Kankakee, IL and can be reached out via phone at 815-933-0194 and via fax at 815-933-1444.

Location: 375 N Wall St Ste P520, Kankakee, IL, 60901-3493
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649353970
Provider Name
Med Peds Associates
Credential
Provider Entity Type
Organization
Address
375 N Wall St Ste P520, Kankakee, IL, 60901-3493
Phone Number
815-933-0194
Fax Number
815-933-1444
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1472505 01 OTHER ID NUMBER-COMMERCIAL NUMBER
036074737 05 IL
institution
Provider Business Practice Location Address Details
Address
375 N Wall St Ste P520
City
Kankakee
State
Illinois
Zip
60901-3493
Phone Number
815-933-0194
Fax Number
815-933-1444
person
Provider Business Mailing Address Details
Address
375 N Wall St Ste P520
City
Kankakee
State
Illinois
Zip
60901-3493
Phone Number
815-933-0194
Fax Number
815-933-1444
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Non-Pharmacy Dispensing Site
Speciality
-
Taxonomy
332900000X
License No.
036074737 (Illinois)
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
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