Pediatric Specialist Of The Nw Mdsc

LBN: Pediatric Specialist Of The Nw Mdsc
Pediatric Specialist Of The Nw Mdsc is an health care organization with primary practice located at 475 W Terra Cotta Ave Ste 01, Crystal Lake IL 60014-3407. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Pediatric Specialist Of The Nw Mdsc can be contacted via phone (847) 381-5005, or through Braverman, Charles via phone (843) 381-5005.

Contact Information

Primary practice address
475 W Terra Cotta Ave Ste 01 Crystal Lake IL 60014-3407
Phone: (847) 381-5005
Fax: (847) 381-5036
Website:
Map and Directions
Authorized official contact:
Name: Braverman, Charles Doctor of Medicine (MD)
Phone: (843) 381-5005

Health care specialties

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

Profile Details

NPI number 1598765521
LBN Legal business name Pediatric Specialist Of The Nw Mdsc
DBA Doing business as
Authorized official Braverman, Charles Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2005
Last updated Jul 21st, 2022 - about 2 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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