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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 Specialty Code Provider Type

Pediatric Cardiology

2080P0202X 37 Physician/Pediatric Medicine
Indicates primary specialty

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

NPI # 1386081792
LBN Legal business name CHILDREN'S HOSPITAL OF ILLINOIS MEDICAL GROUP
Authorized official KEVIN SCHOEPLEIN - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/24/2013
Last updated 05/24/2013 - About 13 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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