Organization
CHICAGO PEDIATRIC & NEONATOLOGY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HALINA ANIOL MD (MD)
(773) 467-8866
Entity
Organization
Contact information
Practice address
7447 W TALCOTT AVE STE 561, CHICAGO, IL 60631-3716
(773) 467-8866
(773) 467-8886
Mailing address
7447 W TALCOTT AVE STE 561, CHICAGO, IL 60631-3716
(773) 467-8866
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036079081
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036079081
—
IL
Enumeration date
04/22/2008
Last updated
04/22/2013
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