Organization
COMPREHENSIVE PEDIATRIC CARE 1 LTD
Active
Other names
comprehensive pediatric care ltd
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHIDA TANVEER MD (PRESIDENT)
(708) 891-0089
Entity
Organization
Contact information
Practice address
1600 167TH ST STE 250, CALUMET CITY, IL 60409-5484
(708) 891-0089
(708) 891-0681
Mailing address
PO BOX 7388, COMPREHENSIVE PEDIATRIC CARE LTD., VILLA PARK, IL 60181-7388
(708) 891-0089
(708) 891-0681
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036083262
IL
Other
Enumeration date
11/17/2006
Last updated
03/18/2025
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