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Organization

WUCA-WESTSIDE PEDIATRICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CATHY EGHIGIAN (SENIOR DIRECTOR WU MANAGED CARE)
(618) 791-0975
Entity
Organization

Contact information

Practice address
100 BREVCO PLZ, SUITE 101, LAKE ST LOUIS, MO 63367-1382
(636) 561-5437
(636) 561-5100
Mailing address
PO BOX 7412119, CHICAGO, IL 60674-2011
(636) 561-5437
(636) 561-5100

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
02/17/2017
Last updated
07/10/2025
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