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Organization

CHILDREN'S PHYSICIAN GROUP

Active
Parent organization
CHILDREN'S PHYSICIAN GROUP
Other names
Evanston 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
2500 RIDGE AVE, SUITE 109, EVANSTON, IL 60201-2455
(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
207NP0225X
Pediatric Dermatology Physician
Primary

Other

Enumeration date
05/01/2008
Last updated
06/17/2008
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