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Contact Information

CHILDREN'S PHYSICIAN GROUP
2500 RIDGE AVE
SUITE 109
EVANSTON, IL60201-2455
 Phone: 847-662-4380
 Fax: 847-662-3557
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Dermatology

207NP0225X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for CHILDREN'S PHYSICIAN GROUP

NPI Number 1356517221
LBN Legal business name CHILDREN'S PHYSICIAN GROUP
Authorized official THOMAS DUNIGAN - (PRESIDENT, CHILDREN'S PHYSICIAN GRP)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/01/2008
Last updated 06/17/2008 - About 18 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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