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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 CHILDREN'S PHYSICIAN GROUP

NPI Number 1124362306
LBN Legal business name CHILDREN'S PHYSICIAN GROUP
Authorized official SMRITI KHARE - (PRESIDENT, CHILDREN'S PHYSICIAN GRP)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/12/2012
Last updated 11/12/2012 - About 14 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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