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PM PEDIATRICS OF ILLINOIS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIELLE MARIE LOPEZ (MANAGER CREDENTIALING/ENROLLMENT)
(516) 207-7936
Entity
Organization

Contact information

Practice address
2835 SHOWPLACE DR STE 119, NAPERVILLE, IL 60564-5056
(630) 470-4878
(630) 870-1712
Mailing address
1 HOLLOW LN STE 301, NEW HYDE PARK, NY 11042-1215
(516) 869-0650
(516) 869-0655

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Enumeration date
09/13/2019
Last updated
01/21/2025
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