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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, P.C.

NPI # 1962483669
LBN Legal business name MIDWEST PEDIATRIC CARDIOLOGY, P.C.
Authorized official DAVID ROBERSON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/09/2005
Last updated 09/14/2007 - About 19 years ago
Identifiers
Other 1617609 BCBS OF ILLINOIS
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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