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Organization
CHILDREN'S PHYSICIAN GROUP
Active
Organization
CHILDREN'S PHYSICIAN GROUP
Active
Parent organization
CHILDREN'S PHYSICIAN GROUP
Other names
Pediatric and Allergy Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S PHYSICIAN GROUP
Authorized official
DR. THOMAS H DUNIGAN M.D. (PRESIDENT, CHILDREN'S PHYSICIAN GRP)
(414) 266-7615
Entity
Organization
Contact information
Practice address
1027 W PARK AVE, LIBERTYVILLE, IL 60048-2550
(847) 367-2615
(847) 367-1801
Mailing address
9000 W WISCONSIN AVE, MS 8000, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-3803
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
06/17/2008
Last updated
06/17/2008
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