Organization
TOTS TO TEENS, LLC
Active
Other names
Glencoe Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KUDUS K AKINDE MD (OWNER)
(847) 242-0700
Entity
Organization
Contact information
Practice address
659 VERNON AVE, GLENCOE, IL 60022-1641
(847) 242-0700
(847) 574-1600
Mailing address
659 VERNON AVE, GLENCOE, IL 60022-1641
(847) 242-0700
(847) 574-1600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036114318
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20015369
—
IL
Enumeration date
09/16/2009
Last updated
09/16/2009
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