Organization
HOPE CHEST PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY COTALEEN TODD PNP (OWNER/PROVIDER)
(314) 457-3486
Entity
Organization
Contact information
Practice address
130 N DUNCAN ST, MARINE, IL 62061
(815) 310-6222
Mailing address
130 N DUNCAN ST, MARINE, IL 62061
(815) 310-6222
(833) 921-2135
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
08/26/2024
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