Northside-Suburban Pediatric Associates, S.C.
LBN: Northside-Suburban Pediatric Associates, S.C.
Northside-Suburban Pediatric Associates, S.C. is an health care organization with primary practice located at 4801 W Peterson Ave Ste 506, Chicago IL 60646-5795. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty.
Northside-Suburban Pediatric Associates, S.C. can be contacted via phone (773) 777-5437, or through Deutsch, Mary via phone (773) 777-5437.
Contact Information
Primary practice address
4801 W Peterson Ave Ste 506
Chicago IL 60646-5795
Phone: (773) 777-5437
Fax: (773) 777-7567
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | Illinois |
Profile Details
NPI number | 1902802770 |
---|---|
LBN Legal business name | Northside-Suburban Pediatric Associates, S.C. |
DBA Doing business as | |
Authorized official | Deutsch, Mary |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jun 24th, 2005 |
Last updated | Aug 22nd, 2020 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902802770 | NPPES |
Illinois | Other | 01615555 | BLUE SHIELD PROVIDER # |
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