Organization
CHICAGOLAND PEDIATRIC PARTNERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL BELLAMY-PEYTON MD (PRESIDENT/OWNER)
(708) 423-6400
Entity
Organization
Contact information
Practice address
4700 W 95TH ST, SUITE LL2, OAK LAWN, IL 60453-2533
(708) 423-6400
(708) 423-6428
Mailing address
4700 W 95TH ST, SUITE LL2, OAK LAWN, IL 60453-2533
(708) 423-6400
(708) 423-6428
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
01059573A
IN
261QP2300X
Primary Care Clinic/Center
Primary
036078773
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036078773
—
IL
01
—
705540
MEDICARE NATIONAL PROVIDER NUMBER
IL
Enumeration date
05/15/2008
Last updated
05/15/2008
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