MEDICARE: HIBA PEDIATRICS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician		IL

General Provider Information

NPI Number	:	1356565089
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIBA PEDIATRICS

Provider Business Mailing Address
First Line	:	2915 S ELLIS AVE
Second Line	:	1ST FLR. KUNSTADTER CHILDRENS BUILDING ,MICHAEL REESE H
City	:	CHICAGO
State	:	IL
Zip	:	60616-3302
Country	:	US
Telephone Number	:	312-791-8002
Fax Number	:	312-791-2093

Provider Business Practice Location Address
First Line	:	2915 S ELLIS AVE
Second Line	:	1ST FLR. KUNSTADTER CHILDRENS BUILDING ,MICHAEL REESE H
City	:	CHICAGO
State	:	IL
Zip	:	60616-3302
Country	:	US
Telephone Number	:	312-791-8002
Fax Number	:	312-791-2093

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SABA HALIM KHALID
Credential	:	MD
Telephone Number	:	312-791-8002

Provider Enumeration Date	:	04/12/2007
Last Update Date	:	08/22/2020

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Directions to “HIBA PEDIATRICS ” Practice Location

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