Organization · Type 2 NPI
Delavan Pediatrics, LLC
Clinic/Center · Delavan, IL
NPI number
1053675181
Active
Practice location
101 E 5th St
Delavan, IL 61734-9619
Fax (309) 244-8452
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 036112406 (IL) |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Another provider at this address
About NPI 1053675181
Delavan Pediatrics, LLC's National Provider Identifier is 1053675181, issued on Jul 3, 2012. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Delavan, IL. The record was last updated on Jul 3, 2012.