Partners In Children's Health,s.c. | |
2550 Hauser Ross Dr Suite #350 Sycamore IL 60178-3149 | |
(815) 754-5010 | |
Not Available |
Full Name | Partners In Children's Health,s.c. |
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Speciality | Clinic/center - Primary Care |
Location | 2550 Hauser Ross Dr, Sycamore, Illinois |
Authorized Official Name and Position | Pushpa K Mamtani (PRESIDENT) |
Authorized Official Contact | 8157545010 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Partners In Children's Health,s.c. 2550 Hauser Ross Dr Suite #350 Sycamore IL 60178-3149 Ph: (815) 754-5010 | Partners In Children's Health,s.c. 2550 Hauser Ross Dr Suite #350 Sycamore IL 60178-3149 Ph: (815) 754-5010 |
NPI Number | 1013183706 |
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Provider Enumeration Date | 05/02/2008 |
Last Update Date | 05/02/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013183706 | NPI | - | NPPES |
1376527168 | Other | NPI | |
036064091 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 036064091 (Illinois) | Primary |
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