Back to Basics Pediatrics Sc

NPI #1205310356 in Algonquin, Illinois

Provider Information

NPI Number: 1205310356
Entity Type: Organization
Organization Name: Back to Basics Pediatrics Sc
Primary Specialty: Pediatrics
Enumeration Date: Sep 24, 2018
Last Updated: Dec 12, 2018

Practice Location

Address: 2403 HARNISH DR STE 101
City: Algonquin
State: Illinois
ZIP Code: 60102-6803
Phone: (224) 520-0087

Authorized Official

Name: DR. CHRISTINE POULOS, MD
Title: PEDIATRICIAN
Phone: (224) 520-0087

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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