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NPI Code Detail

MEDICARE: PEDIATRIC SOLUTIONS SC

MEDICARE: PEDIATRIC SOLUTIONS SC
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
1208000000XPediatrics Physician

General Provider Information

NPI Number : 1962413377
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEDIATRIC SOLUTIONS SC
Provider Business Mailing Address
First Line : 777 OAKMONT LN
Second Line : SUITE 1600
City : WESTMONT
State : IL
Zip : 60559-5511
Country : US
Telephone Number : 630-789-2550
Fax Number :
Provider Business Practice Location Address
First Line : 3233 N ARLINGTON HEIGHTS RD
Second Line : SUITE 209
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-1557
Country : US
Telephone Number : 847-670-4545
Fax Number :
Authorized Official
Title or Position : PRESIDENT OWNER
Name : STEPHANIE BAKER
Credential : MD
Telephone Number : 847-670-4545
Provider Enumeration Date : 08/10/2006
Last Update Date : 08/22/2020

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Directions to “PEDIATRIC SOLUTIONS SC ” Practice Location

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