Organization
PEDIATRIC ASSOCIATES OF PALOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNITA J GINDE MD (DOCTOR)
(708) 361-6993
Entity
Organization
Contact information
Practice address
7600 W COLLEGE DR, 1ST FLOOR, PALOS HEIGHTS, IL 60463-1001
(708) 361-6993
Mailing address
7600 W COLLEGE DR, 1ST FLOOR, PALOS HEIGHTS, IL 60463-1001
(708) 361-6993
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036-058696
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21609906
PROVIDER NUMBER
IL
Enumeration date
09/20/2007
Last updated
07/08/2008
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