Organization
NEXT GENERATION PEDIATRICS, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE CANADA MD (PRACTICE MANAGER)
(847) 695-9900
Entity
Organization
Contact information
Practice address
107 S MCLEAN BLVD STE B, SOUTH ELGIN, IL 60177-1822
(847) 695-9900
(847) 695-9989
Mailing address
107 S MCLEAN BLVD STE B, SOUTH ELGIN, IL 60177-1822
(847) 695-9900
(847) 695-9989
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036104509
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036104509
—
IL
Enumeration date
10/14/2009
Last updated
10/23/2023
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