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Organization

WINDY CITY PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AYMAN RAWDA M.D. (DOCTOR/OWNER)
(773) 880-1075
Entity
Organization

Contact information

Practice address
3000 N HALSTED ST, SUITE 825, CHICAGO, IL 60657-5188
(773) 880-1075
(708) 424-1715
Mailing address
3000 N HALSTED, SUITE 825, CHICAGO, IL 60657
(773) 880-1075
(708) 424-1715

Taxonomy

Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
Primary
49012
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036119517
IL
Enumeration date
11/02/2015
Last updated
11/02/2015
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