Grace Pediatrics Llc

LBN: Grace Pediatrics Llc
Grace Pediatrics Llc is an health care organization with primary practice located at 1118 Bloomingdale Rd , Glendale Heights IL 60139-3498. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Grace Pediatrics Llc can be contacted via phone (630) 784-8600, or through Farhana, Arjumand via phone (312) 933-8446.

Contact Information

Primary practice address
1118 Bloomingdale Rd Glendale Heights IL 60139-3498
Phone: (630) 784-8600
Fax: (630) 456-4086
Website:
Map and Directions
Authorized official contact:
Name: Farhana, Arjumand Doctor of Medicine (MD)
Phone: (312) 933-8446

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 036106640 Illinois

Profile Details

NPI number 1801120860
LBN Legal business name Grace Pediatrics Llc
DBA Doing business as
Authorized official Farhana, Arjumand Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2009
Last updated Mar 27th, 2012 - about 13 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 1801120860 NPPES
Illinois MEDICAID 36106640

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