Progressive Pediatrics

LBN: Progressive Pediatrics
Progressive Pediatrics is an health care organization with primary practice located at 215 Remington Blvd Suite K, Bolingbrook IL 60440-3656. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Progressive Pediatrics can be contacted via phone (630) 378-1111, or through Mir, Ayezah via phone (630) 378-1111.

Contact Information

Primary practice address
215 Remington Blvd Suite K Bolingbrook IL 60440-3656
Fax: (630) 378-1112
Website:
Authorized official contact:
Name: Mir, Ayezah Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 036112854 Illinois
Ambulatory Health Care Facilities / Primary Care 261QP2300X 036089109 Illinois

Profile Details

NPI number 1962648386
LBN Legal business name Progressive Pediatrics
DBA Doing business as
Authorized official Mir, Ayezah Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2009
Last updated Jan 7th, 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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