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South Park Pediatrics, Inc
Medical Specialty Clinic/Center in South Holland, Illinois
NPI 1649638685

South Park Pediatrics, Inc is a Medical Specialty Clinic/Center based in South Holland, IL and is specialized in Medical Specialty. South Park Pediatrics, Inc practices in South Holland, IL. The NPI Number for South Park Pediatrics, Inc is 1649638685 and holds a License No. 036068196 (Illinois).

The current practice location address for South Park Pediatrics, Inc is 15821 S Park Ave, South Holland, IL and can be reached out via phone at 708-225-0200 and via fax at 708-225-0202.

Location: 15821 S Park Ave, South Holland, IL, 60473-1506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649638685
Provider Name
South Park Pediatrics, Inc
Credential
Provider Entity Type
Organization
Address
15821 S Park Ave, South Holland, IL, 60473-1506
Phone Number
708-225-0200
Fax Number
708-225-0202
Provider Enumeration Date
02/05/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15821 S Park Ave
City
South Holland
State
Illinois
Zip
60473-1506
Phone Number
708-225-0200
Fax Number
708-225-0202
person
Provider Business Mailing Address Details
Address
15821 S Park Ave
City
South Holland
State
Illinois
Zip
60473-1506
Phone Number
708-225-0200
Fax Number
708-225-0202
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
036068196 (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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