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Organization
CHILDREN'S MEDICAL GROUP, S.C.
Active
Organization
CHILDREN'S MEDICAL GROUP, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON C TJADEN MD (OWNER)
(847) 658-6065
Entity
Organization
Contact information
Practice address
301 N RANDALL RD, LAKE IN THE HILLS, IL 60156-5961
(847) 658-6065
(847) 658-6136
Mailing address
301 N RANDALL RD, LAKE IN THE HILLS, IL 60156-5961
(847) 658-6065
(847) 658-6136
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036109900
IL
Other
Enumeration date
06/07/2007
Last updated
07/14/2016
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