Abc Pediatrics, Ltd.

LBN: Abc Pediatrics, Ltd.
Abc Pediatrics, Ltd. is an health care organization with primary practice located at 1331 W 75Th Street Suite 300, Naperville IL 60540. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Abc Pediatrics, Ltd. can be contacted via phone (630) 355-0003, or through Rousonelos, Gus A via phone (630) 355-0003.

Contact Information

Primary practice address
1331 W 75Th Street Suite 300 Naperville IL 60540
Phone: (630) 355-0003
Fax: (630) 355-9822
Website:
Map and Directions
Authorized official contact:
Name: Rousonelos, Gus A Doctor of Medicine (MD)
Phone: (630) 355-0003

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 042.618674 Illinois

Profile Details

NPI number 1730201922
LBN Legal business name Abc Pediatrics, Ltd.
DBA Doing business as
Authorized official Rousonelos, Gus A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2007
Last updated May 2nd, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730201922 NPPES
Other 14D0866815 CLIA WAIVER CERT
Other 042.618674 CLIA WAIVER CERT
Other 02201648 CLIA WAIVER CERT

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