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Organization

CHILDREN'S HOSPITAL OF WISCONSIN CLINICS-VERNON HILLS

Active
Parent organization
CHILDREN'S PHYSICIAN GROUP
Other names
Children's Physician Group
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHILDREN'S PHYSICIAN GROUP
Authorized official
DR. THOMS DUNIGAN MD (PRESIDENT, CHILDREN'S PHYSICIAN GRP)
(414) 266-7615
Entity
Organization

Contact information

Practice address
701 WOODLANDS PKWY, SUITE 200, VERNON HILLS, IL 60061-3101
(847) 793-5450
Mailing address
9000 W WISCONSIN AVE, MS 8000, MILWAUKEE, WI 53226-4874
(414) 266-7615

Taxonomy

Speciality
Code
Description
License number
State
207NP0225X
Pediatric Dermatology Physician
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
2080P0202X
Pediatric Cardiology Physician

Other

Enumeration date
04/29/2008
Last updated
01/22/2016
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