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NPI Code Detail

MEDICARE: PEDIATRIC CENTRAL

MEDICARE: PEDIATRIC CENTRAL
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 : 1366565756
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEDIATRIC CENTRAL
Provider Business Mailing Address
First Line : 385 W NORTHWEST HWY
Second Line :
City : PALATINE
State : IL
Zip : 60067-2414
Country : US
Telephone Number : 847-359-9800
Fax Number : 847-359-9899
Provider Business Practice Location Address
First Line : 385 W NORTHWEST HWY
Second Line :
City : PALATINE
State : IL
Zip : 60067-2414
Country : US
Telephone Number : 847-359-9800
Fax Number : 847-359-9899
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. ABDUL MALHES
Credential : MD
Telephone Number : 847-359-9800
Provider Enumeration Date : 04/09/2007
Last Update Date : 03/18/2020

Similar Medicare Providers

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Practice Location Address:
385 W NORTHWEST HWY
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1932126869 — DR. PATRICK J DICILLO D.O.
Practice Location Address:
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Directions to “PEDIATRIC CENTRAL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.