Healthcare Provider Details

I. General information

NPI: 1043256571
Provider Name (Legal Business Name): ASSOCIATED PEDIATRICS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 SHERMER RD SUITE 100
NORTHBROOK IL
60062-4579
US

IV. Provider business mailing address

1310 SHERMER RD SUITE 100
NORTHBROOK IL
60062-4579
US

V. Phone/Fax

Practice location:
  • Phone: 847-498-3434
  • Fax: 847-498-3776
Mailing address:
  • Phone: 847-498-3434
  • Fax: 847-498-3776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. RICHARD C SAUL
Title or Position: PRESIDENT
Credential: M.D.
Phone: 847-498-3434