Pediatric Associates Pc

LBN: Pediatric Associates Pc
Pediatric Associates Pc is an health care organization with primary practice located at 3749 W 95Th St , Evergreen Park IL 60805-2019. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatric Associates Pc can be contacted via phone (708) 422-6569, or through Arora, Subash C via phone (708) 422-6569.

Contact Information

Primary practice address
3749 W 95Th St Evergreen Park IL 60805-2019
Phone: (708) 422-6569
Fax: (708) 499-1511
Website:
Map and Directions
Authorized official contact:
Name: Arora, Subash C Doctor of Medicine (MD)
Phone: (708) 422-6569

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-073878 Illinois

Profile Details

NPI number 1548337793
LBN Legal business name Pediatric Associates Pc
DBA Doing business as
Authorized official Arora, Subash C Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2006
Last updated Nov 25th, 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 1548337793 NPPES
Illinois Other 01632846 BCBS
Illinois MEDICAID 036073878 BCBS

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