Organization
CHILDREN'S PHYSICIAN GROUP
Active
Parent organization
CHILDREN'S PHYSICIAN GROUP
Other names
Glenview 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
2401 RAVINE WAY, SUITE 101, GLENVIEW, IL 60025-7645
(847) 662-4380
(847) 662-3557
Mailing address
9000 W WISCONSIN AVE, MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
207NP0225X
Pediatric Dermatology Physician
Primary
—
—
Other
Enumeration date
05/01/2008
Last updated
11/12/2012
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