National Provider Identifier Database

CHILDRENS HOSPITAL OF ILLINOIS MEDICAL 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 HOSPITAL OF ILLINOIS MEDICAL GROUP
420 NE GLEN OAK AVE
STE 301
PEORIA, IL61603-3105
Phone: 309-655-3453
Fax:
Website:
Specialty Taxonomy Code
* Pediatric Cardiology 2080P0202X

* Indicates primary specialty

NPI Profile & details for CHILDREN'S HOSPITAL OF ILLINOIS MEDICAL GROUP

NPI Number 1386081792
Legal business name
LBN
CHILDREN'S HOSPITAL OF ILLINOIS MEDICAL GROUP
Authorized official KEVIN SCHOEPLEIN - (CEO)
Entity Organization
Organization subpart Yes
Enumeration date 05/24/2013
Last updated 05/24/2013 - About 13 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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