Organization
DUPAGE PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRY GARDNER M.D. (EXECUTIVE OFFICER)
(630) 810-0900
Entity
Organization
Contact information
Practice address
1306 PLAINFIELD RD, DARIEN, IL 60561-5038
(630) 810-0900
(630) 810-1037
Mailing address
1306 PLAINFIELD RD, DARIEN, IL 60561-5038
(630) 810-0900
(630) 810-1037
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
IL
Other
Enumeration date
12/22/2005
Last updated
07/21/2022
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