Organization
SOUTH PARK PEDIATRICS, INC
Active
Other names
South Park Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WENDELL A WHEELER M.D. (PRESIDENT)
(708) 225-0200
Entity
Organization
Contact information
Practice address
15821 S PARK AVE, SOUTH HOLLAND, IL 60473-1506
(708) 225-0200
(708) 225-0202
Mailing address
15821 S PARK AVE, SOUTH HOLLAND, IL 60473-1506
(708) 225-0200
(708) 225-0202
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
036068196
IL
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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