Organization
A2Z CARE MED-PEDS SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRACE HERNANDEZ (REVENUE CYCLE MANAGEMENT CONSULTANT)
(708) 712-4010
Entity
Organization
Contact information
Practice address
550 EAST BOUGTON ROAD, SUITE 110, BOLINGBROOK, IL 60440-2194
(630) 755-5437
Mailing address
3250 LACEY RD, SUITE 160, DOWNERS GROVE, IL 60515-7901
(708) 712-4010
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
036114636
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114636
—
IL
Enumeration date
11/22/2016
Last updated
04/17/2017
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