Organization · Type 2 NPI
South Park Pediatrics, Inc
Medical Specialty Clinic/Center · South Holland, IL
Practice location
15821 S Park Ave
South Holland, IL 60473-1506
Fax (708) 225-0202
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | 036068196 (IL) |
Medical Specialty Clinic/Center: 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).
2 other providers at this address
About NPI 1649638685
South Park Pediatrics, Inc's National Provider Identifier is 1649638685, issued on Feb 5, 2016. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in South Holland, IL. The record was last updated on Feb 5, 2016.