# CHILDREN'S PHYSICIAN GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHILDREN'S PHYSICIAN GROUP
- **Other names:** Glenview Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1548436413
- **Legal business name:** CHILDREN'S PHYSICIAN GROUP
- **Authorized official:** DR. THOMAS DUNIGAN MD (PRESIDENT, CHILDREN'S PHYSICIAN GRP)
- **Authorized official phone:** (414) 266-7615

## Contact information

- **Practice address:** 2401 RAVINE WAY, SUITE 101, GLENVIEW, IL 60025-7645
- **Practice address phone:** (847) 662-4380
- **Practice address fax:** (847) 662-3557
- **Mailing address:** 9000 W WISCONSIN AVE, MS 958, MILWAUKEE, WI 53226-4874
- **Mailing address phone:** (414) 266-7615
- **Mailing address fax:** (414) 266-6238

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207NP0225X | Pediatric Dermatology Physician | — | NULL | Yes |
| 207NP0225X | Pediatric Dermatology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/01/2008
- **Last updated:** 11/12/2012