National Provider Identifier Database

CHILDRENS PHYSICIAN GROUP
Pediatric Cardiology

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.


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
* Pediatric Cardiology 2080P0202X

* Indicates primary specialty

NPI Profile & details for CHILDREN'S PHYSICIAN GROUP

NPI Number 1124362306
Legal business name
LBN
CHILDREN'S PHYSICIAN GROUP
Authorized official SMRITI KHARE - (PRESIDENT, CHILDREN'S PHYSICIAN GRP)
Entity Organization
Organization subpart Yes
Enumeration date 11/12/2012
Last updated 11/12/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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