Organization · Type 2 NPI

Children's Physician Group

Pediatric Cardiology Physician · Crystal Lake, IL

NPI number 1124362306 Active

Practice location

360 Station Dr
Crystal Lake, IL 60014-7978

Call (815) 338-6600 Map

Fax (815) 477-9826

Mailing address

9000 W Wisconsin Ave, Ms 958
Milwaukee, WI 53226-4874

Specialties and licenses

Taxonomy	Code	License
Pediatric Cardiology Physician Primary	2080P0202X	None listed

Pediatric Cardiology Physician: A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

29 other providers at this address

NPI record

NPI: 1124362306
Entity type: Organization (Type 2)
Issued: Nov 12, 2012
Last updated: Nov 12, 2012
Status: Active
Subpart: Yes of Children's Physician Group

Other names

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Crystal Lake Clinic · doing business as

Authorized official

Dr. Smriti Khare, MD
President, Children's Physician GRP
(414) 266-7615

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124362306

Children's Physician Group's National Provider Identifier is 1124362306, issued on Nov 12, 2012. The primary taxonomy on file is Pediatric Cardiology Physician (2080P0202X), and the practice location is in Crystal Lake, IL. The record was last updated on Nov 12, 2012.