Mchenry Pediatrics MD Sc

NPI #1013158468 in Mchenry, Illinois

Provider Information

NPI Number: 1013158468
Entity Type: Organization
Organization Name: Mchenry Pediatrics MD Sc
Primary Specialty: Pediatrics
Enumeration Date: Mar 16, 2009
Last Updated: Apr 29, 2011

Practice Location

Address: 3625 MUNICIPAL DR
City: Mchenry
State: Illinois
ZIP Code: 60050-5434
Phone: (815) 385-8560

Authorized Official

Name: DR. TAIWO M FASEHUN, MD
Title: PROVIDER
Phone: (815) 385-8560

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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Celina G Miller, MD	Pediatrics	Mchenry	AI Deep Dive
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