Clementine Pediatrics, Llc

LBN: Clementine Pediatrics, Llc
Clementine Pediatrics, Llc is an health care organization with primary practice located at 1757 N Kimball Ave Ste 205A , Chicago IL 60647-4805. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Feeding, Eating & Swallowing, which is considered as the primary health care specialty. Clementine Pediatrics, Llc can be contacted via phone (816) 914-0359, or through Vivoda, Sara P via phone (816) 914-0359.

Contact Information

Primary practice address
1757 N Kimball Ave Ste 205A Chicago IL 60647-4805
Phone: (816) 914-0359
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vivoda, Sara P MOT, OTR/L
Phone: (816) 914-0359

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Feeding, Eating & Swallowing 225XF0002X

Profile Details

NPI number 1134905482
LBN Legal business name Clementine Pediatrics, Llc
DBA Doing business as
Authorized official Vivoda, Sara P MOT, OTR/L
Entity Organization
Organization subpart 1 No
Enumeration date Sep 4th, 2023
Last updated Sep 5th, 2023 - about last year

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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