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Northside-suburban Pediatric Associates, S.c.
Specialist in Chicago, Illinois
NPI 1902802770

Northside-suburban Pediatric Associates, S.c. is a Specialist based in Chicago, IL. Northside-suburban Pediatric Associates, S.c. practices in Chicago, IL. The NPI Number for Northside-suburban Pediatric Associates, S.c. is 1902802770 and holds a License No. (Illinois).

The current practice location address for Northside-suburban Pediatric Associates, S.c. is 4801 W Peterson Ave, Chicago, IL and can be reached out via phone at 773-777-5437 and via fax at 773-777-7567. You can also correspond with Northside-suburban Pediatric Associates, S.c. through the mailing address at 4801 W PETERSON AVE, CHICAGO, IL - 60646-5795 (mailing address contact number: 773-777-5437).

Location: 4801 W Peterson Ave, Chicago, IL, 60646-5795
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1902802770
Provider Name
Northside-suburban Pediatric Associates, S.c.
Credential
Provider Entity Type
Organization
Address
4801 W Peterson Ave, Chicago, IL, 60646-5795
Phone Number
773-777-5437
Fax Number
773-777-7567
Provider Enumeration Date
06/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01615555 01 IL BLUE SHIELD PROVIDER #
institution
Provider Business Practice Location Address Details
Address
4801 W Peterson Ave
City
Chicago
State
Illinois
Zip
60646-5795
Phone Number
773-777-5437
Fax Number
773-777-7567
person
Provider Business Mailing Address Details
Address
4801 W Peterson Ave
City
Chicago
State
Illinois
Zip
60646-5795
Phone Number
773-777-5437
Fax Number
773-777-7567
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(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.
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