Healthcare Provider Details

I. General information

NPI: 1134345465
Provider Name (Legal Business Name): TOTS N TEENS HEALTH ASSOCIATES S.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 06/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 W HIGGINS RD SUITE 480
HOFFMAN ESTATES IL
60195-5220
US

IV. Provider business mailing address

2500 W HIGGINS RD SUITE 480
HOFFMAN ESTATES IL
60195-5220
US

V. Phone/Fax

Practice location:
  • Phone: 847-843-7212
  • Fax:
Mailing address:
  • Phone: 847-843-7212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036051758
License Number StateIL

VIII. Authorized Official

Name: DR. NARGIS AWATRAMANI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 847-843-7212