Pediatric Critical Care Specialists

LBN: Pediatric Critical Care Specialists
Pediatric Critical Care Specialists is an health care organization with primary practice located at 1775 Dempster St , Park Ridge IL 60068-1143. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as the primary health care specialty. Pediatric Critical Care Specialists can be contacted via phone (847) 723-2210, or through Havalad, Suresh via phone (847) 723-2210.

Contact Information

Primary practice address
1775 Dempster St Park Ridge IL 60068-1143
Phone: (847) 723-2210
Fax: (847) 723-2325
Website:
Map and Directions
Authorized official contact:
Name: Havalad, Suresh Doctor of Medicine (MD)
Phone: (847) 723-2210

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X Illinois

Profile Details

NPI number 1134243868
LBN Legal business name Pediatric Critical Care Specialists
DBA Doing business as
Authorized official Havalad, Suresh Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1134243868 NPPES
Illinois Other 01623878 BLUE SHIELD

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