Organization
DOWNERS GROVE PEDIATRICS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMILIO CABANA M.D. (PRESIDENT)
(630) 852-4551
Entity
Organization
Contact information
Practice address
6840 S. MAIN STREET, SUITE 201, DOWNERS GROVE, IL 60516-3493
(630) 852-4551
(630) 451-0131
Mailing address
6840 S. MAIN STREET, SUITE 201, DOWNERS GROVE, IL 60516-3493
(630) 852-4551
(630) 451-0131
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042-001840
IL
302F00000X
Exclusive Provider Organization
042001840
IL
Other
Enumeration date
07/07/2006
Last updated
11/17/2009
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