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Organization
ADVANCED PEDIATRIC AND NEONATAL MEDICINE, SC
Active
Organization
ADVANCED PEDIATRIC AND NEONATAL MEDICINE, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANG J HAN M D (OWNER)
(630) 529-6969
Entity
Organization
Contact information
Practice address
473 W ARMY TRAIL RD, SUITE 103, BLOOMINGDALE, IL 60108-2674
(630) 529-6969
(630) 529-7497
Mailing address
473 W ARMY TRAIL RD, SUITE 103, BLOOMINGDALE, IL 60108-2674
(630) 529-6969
(630) 529-7497
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036061812
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061812
—
IL
01
—
208000000X
TAXONOMY
IL
Enumeration date
02/23/2010
Last updated
02/23/2010
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