Organization · Type 2 NPI

Children's Physician Group

Pediatric Dermatology Physician · Evanston, IL

NPI number 1356517221 Active

Practice location

2500 Ridge Ave, Suite 109
Evanston, IL 60201-2455

Call (847) 662-4380 Map

Fax (847) 662-3557

Mailing address

9000 W Wisconsin Ave, Ms 8000
Milwaukee, WI 53226-4874

Specialties and licenses

Taxonomy	Code	License
Pediatric Dermatology Physician Primary	207NP0225X	None listed

Pediatric Dermatology Physician: A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

42 other providers at this address

NPI record

NPI: 1356517221
Entity type: Organization (Type 2)
Issued: May 1, 2008
Last updated: Jun 17, 2008
Status: Active
Subpart: Yes of Children's Physician Group

Other names

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Evanston Clinic · other name

Authorized official

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

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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 1356517221

Children's Physician Group's National Provider Identifier is 1356517221, issued on May 1, 2008. The primary taxonomy on file is Pediatric Dermatology Physician (207NP0225X), and the practice location is in Evanston, IL. The record was last updated on Jun 17, 2008.