Organization
CHILDREN & TEENSMEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R O'DONNELL MD (PRESIDENT)
(847) 895-2900
Entity
Organization
Contact information
Practice address
1701 W WISE RD, SCHAUMBURG, IL 60193-3553
(847) 895-2900
(847) 805-4600
Mailing address
1701 W WISE RD, SCHAUMBURG, IL 60193-3553
(847) 895-2900
(847) 805-4600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36093574
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36093574
—
IL
Enumeration date
08/31/2006
Last updated
08/22/2020
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