Cermak Children's Clinic, S.c.

NPI #1306198247 in Berwyn, Illinois

Provider Information

NPI Number: 1306198247
Entity Type: Organization
Organization Name: Cermak Children's Clinic, S.c.
Primary Specialty: Pediatrics
Enumeration Date: Oct 2, 2012
Last Updated: Oct 2, 2012

Practice Location

Address: 6917 W CERMAK ROAD
City: Berwyn
State: Illinois
ZIP Code: 60804-2172
Phone: (708) 788-4933

Authorized Official

Name: DR. GEORGE THOMAS AMPALLOOR, M.D.
Title: PRESIDENT
Phone: (847) 840-9714

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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