National Provider Identifier Database

SSM CARDINAL GLENNON CHILDRENS HOSPITAL
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

SSM CARDINAL GLENNON CHILDRENS HOSPITAL
1 SAINT ELIZABETH BLVD
O'FALLON, IL62269-1099
Phone: 618-234-2120
Fax:
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X
Body Imaging 2085B0100X
Cytopathology 207ZC0500X
Obesity Medicine 2080B0002X
Psychiatry 2084P0800X
Psychologist 103T00000X
Social Worker 104100000X

* Indicates primary specialty

NPI Profile & details for SSM CARDINAL GLENNON CHILDRENS HOSPITAL

NPI Number 1174577670
Legal business name
LBN
SSM CARDINAL GLENNON CHILDRENS HOSPITAL
Authorized official KAREN REWERTS - (VP FINANCE)
Entity Organization
Organization subpart Yes
Enumeration date 05/19/2006
Last updated 09/30/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MO Medicaid: 540155801

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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