Tinley Park Pediatric Associates Sc

LBN: Tinley Park Pediatric Associates Sc
Tinley Park Pediatric Associates Sc is an health care organization with primary practice located at 6703 159Th St Suite 115, Tinley Park IL 60477-1781. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Tinley Park Pediatric Associates Sc can be contacted via phone (708) 342-7032, or through Cook, Denice D via phone (708) 342-7032.

Contact Information

Primary practice address
6703 159Th St Suite 115 Tinley Park IL 60477-1781
Phone: (708) 342-7032
Fax: (708) 342-7085
Website:
Map and Directions
Authorized official contact:
Name: Cook, Denice D Doctor of Medicine (MD)
Phone: (708) 342-7032

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1346230232
LBN Legal business name Tinley Park Pediatric Associates Sc
DBA Doing business as
Authorized official Cook, Denice D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 24th, 2005
Last updated Oct 22nd, 2007 - about 17 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 1346230232 NPPES
Other 1634171 BCBSIL GROUP NUMBER

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