Pediatrix Medical Group Of Illinois Pc

LBN: Pediatrix Medical Group Of Illinois Pc
Pediatrix Medical Group Of Illinois Pc is an health care organization with primary practice located at 1401 E State St , Rockford IL 61104-2315. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is the primary health care specialty. Pediatrix Medical Group Of Illinois Pc can be contacted via phone (815) 489-4177, or through Poole, Arnold M via phone (954) 384-0175.

Contact Information

Primary practice address
1401 E State St Rockford IL 61104-2315
Phone: (815) 489-4177
Fax: (815) 490-5906
Website:
Map and Directions
Authorized official contact:
Name: Poole, Arnold M
Phone: (954) 384-0175

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X

Profile Details

NPI number 1902903610
LBN Legal business name Pediatrix Medical Group Of Illinois Pc
DBA Doing business as
Authorized official Poole, Arnold M
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2006
Last updated Feb 1st, 2018 - about 6 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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