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Contact Information

BARD AND DIDRIKSEN PEDIATRICS, P.C.
2160 SO IL RT 157
SUITE B
GLEN CARBON, IL62034
 Phone: 618-692-1212
 Fax: 618-692-4875
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for BARD AND DIDRIKSEN PEDIATRICS, P.C.

NPI # 1669553186
LBN Legal business name BARD AND DIDRIKSEN PEDIATRICS, P.C.
Authorized official STEPHANIE SUDHOLT - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/18/2006
Last updated 08/22/2020 - About 6 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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