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Contact Information

CHILDREN'S PHYSICIAN GROUP
360 STATION DR
CRYSTAL LAKE, IL60014-7978
 Phone: 815-338-6600
 Fax: 815-477-9826
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CHILDRENS PHYSICIAN GROUP · (Female)

NPI Number 1124362306
Status Active
Credentials
Entity Individual
Enumeration date 11/12/2012
Last updated 11/12/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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