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Contact Information

ILLINOIS INSTITUTE OF PEDIATRIC CARDIOLOGY
1202N 75TH ST
STE 270
DOWNERS GROVE, IL60516-4274
 Phone: 331-222-7676
 Fax: 630-527-2727
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ILLINOIS INSTITUTE OF PEDIATRIC CARDIOLOGY · (Female)

NPI # 1518032739
Status Active
Credentials
Entity Individual
Enumeration date 11/22/2006
Last updated 06/28/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 042618919
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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