Ebs Pediatrics

LBN: Ebs Pediatrics
Ebs Pediatrics is an health care organization with primary practice located at 6720 167Th St , Tinley Park IL 60477-2872. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Ebs Pediatrics can be contacted via phone (708) 429-1600, or through Suan, Evan B via phone (708) 429-1600.

Contact Information

Primary practice address
6720 167Th St Tinley Park IL 60477-2872
Phone: (708) 429-1600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Suan, Evan B Doctor of Medicine (MD)
Phone: (708) 429-1600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1184679979
LBN Legal business name Ebs Pediatrics
DBA Doing business as
Authorized official Suan, Evan B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2006
Last updated Jan 23rd, 2009 - about 15 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 1184679979 NPPES
Illinois Other 0001633131 BCBS PROVIDER #

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