Organization
HOMER GLEN PEDIATRICS, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN H. GIROUX M.D. (PRESIDENT)
(708) 301-5050
Entity
Organization
Contact information
Practice address
12701 W 143RD ST, HOMER GLEN, IL 60491-7808
(708) 301-5050
(708) 645-6320
Mailing address
12701 W 143RD ST, HOMER GLEN, IL 60491-7808
(708) 301-5050
(708) 645-6320
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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