Preventive Pediatrics, Ltd

LBN: Preventive Pediatrics, Ltd
Preventive Pediatrics, Ltd is an health care organization with primary practice located at 10448 S Pulaski Rd Ste 1 , Oak Lawn IL 60453-4895. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Preventive Pediatrics, Ltd can be contacted via phone (708) 346-7000, or through Cueva, John P via phone (708) 346-7000.

Contact Information

Primary practice address
10448 S Pulaski Rd Ste 1 Oak Lawn IL 60453-4895
Fax: (708) 346-6180
Website:
Authorized official contact:
Name: Cueva, John P Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036085818 Illinois

Profile Details

NPI number 1578580429
LBN Legal business name Preventive Pediatrics, Ltd
DBA Doing business as
Authorized official Cueva, John P Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2006
Last updated Jan 6th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578580429 NPPES
Illinois Other 01620924 BLUE SHIELD

Popular Providers