MEDICARE: INSIGHTFUL PEDIATRICS

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
1	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1609602937
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSIGHTFUL PEDIATRICS

Provider Business Mailing Address
First Line	:	11519 WILLOW BEND DR
Second Line	:
City	:	ZIONSVILLE
State	:	IN
Zip	:	46077-7717
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	755 W CARMEL DR STE 203
Second Line	:
City	:	CARMEL
State	:	IN
Zip	:	46032-5875
Country	:	US
Telephone Number	:	847-903-8958
Fax Number	:

Authorized Official
Title or Position	:	CO- OWNER
Name	:	NICOLE MOLINARO
Credential	:
Telephone Number	:	847-903-8958

Provider Enumeration Date	:	09/12/2024
Last Update Date	:	09/12/2024

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