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NPI Provider: 1902802770
Contact Name: Deutsch Mary
Position: Administrator/manager
Phone: (773) 777-5437
Northside-suburban Pediatric Associates, S.c. Information:
Northside-suburban Pediatric Associates, S.c. organization have npi 1902802770, taxonomy code is 174400000X with license number is 25MA05949400 in . This Business address located in 4801 W Peterson Ave, Chicago, IL 60646 Illinois. Get directions of Northside-suburban Pediatric Associates, S.c..
Practice Location
Address: 4801 W Peterson Ave, Chicago, IL 60646
Phone: (773) 777-5437
Business Location
Address: 4801 W Peterson Ave, Chicago, IL 60646
Phone: (773) 777-5437
Fax: (773) 777-7567
Taxonomy
Taxonomy Code: 174400000X
License Number: 25MA05949400
License Number of State: IL
Primary Taxonomy Switch: Y
Enumeration Date: 6/24/2005
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