Healthcare Provider Details

I. General information

NPI: 1073573564
Provider Name (Legal Business Name): PEDIATRIC ASSOCIATES OF ARLINGTON HTS SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

880 W CENTRAL RD STE 4200
ARLINGTON HEIGHTS IL
60005-2381
US

IV. Provider business mailing address

880 W CENTRAL RD STE 4200
ARLINGTON HEIGHTS IL
60005-2381
US

V. Phone/Fax

Practice location:
  • Phone: 847-259-5070
  • Fax: 847-259-5322
Mailing address:
  • Phone: 847-259-5070
  • Fax: 847-259-5322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES GAYLORD RAMSAY
Title or Position: PRESIDENT PEDIATRIC ASSOCIATES OF A
Credential: MD
Phone: 847-259-5070