Suburban Pediatrics, Ltd.

NPI #1316952765 in Morton Grove, Illinois

Provider Information

NPI Number: 1316952765
Entity Type: Organization
Organization Name: Suburban Pediatrics, Ltd.
Primary Specialty: Pediatrics
Enumeration Date: Jul 31, 2006
Last Updated: Apr 22, 2022

Practice Location

Address: 9000 WAUKEGAN RD STE 240
City: Morton Grove
State: Illinois
ZIP Code: 60053-2128
Phone: (847) 296-1177

Authorized Official

Name: MRS. SANDRA JEAN WAGNER
Title: OFFICE MANAGER
Phone: (847) 296-1177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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