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Contact Information

MIDWEST PEDIATRIC CARDIOLOGY, P.C.
4440 W 95TH ST
OAK LAWN, IL60453-2600
 Phone: 708-684-5580
 Fax: 708-684-4068
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for MIDWEST PEDIATRIC CARDIOLOGY PC · (Female)

NPI # 1962483669
Status Active
Credentials
Entity Individual
Enumeration date 11/09/2005
Last updated 09/14/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • Other 1617609 BCBS OF ILLINOIS
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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