Freeport Pediatrics, S.c

NPI #1194910729 in Freeport, Illinois

Provider Information

NPI Number: 1194910729
Entity Type: Organization
Organization Name: Freeport Pediatrics, S.c
Primary Specialty: Pediatrics
Enumeration Date: Sep 6, 2007
Last Updated: Sep 6, 2007

Practice Location

Address: 750 KIWANIS DR
City: Freeport
State: Illinois
ZIP Code: 61032-7119
Phone: (815) 235-9233

Authorized Official

Name: DR. PRASAD THOMAS, M.D
Title: PEDIATRICIAN
Phone: (815) 235-9233

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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