Organization · Type 2 NPI
Northside-Suburban Pediatric Associates, S.c.
Specialist · Chicago, IL
NPI number
1902802770
Active
Practice location
4801 W Peterson Ave, Ste 506
Chicago, IL 60646-5795
Fax (773) 777-7567
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: 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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About NPI 1902802770
Northside-Suburban Pediatric Associates, S.c.'s National Provider Identifier is 1902802770, issued on Jun 24, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Chicago, IL. The record was last updated on Aug 22, 2020.