Organization
CHILDREN'S PHYSICIAN GROUP
Active
Parent organization
CHILDREN'S PHYSICIAN GROUP
Other names
Algonquin Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDREN'S PHYSICIAN GROUP
Authorized official
DR. THOMAS DUNIGAN MD (PRESIDENT, CHILDREN'S PHYSICIAN GRP)
(414) 266-7615
Entity
Organization
Contact information
Practice address
1473 COMMERCE DR, ALGONQUIN, IL 60102-5916
(847) 662-4380
(847) 662-3557
Mailing address
9000 W WISCONSIN AVE, MS 8000, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-3803
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
—
—
Other
Enumeration date
05/01/2008
Last updated
06/26/2008
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