Northwest Pediatric Services, S.c.

NPI #1477695971 in Elgin, Illinois

Provider Information

NPI Number: 1477695971
Entity Type: Organization
Organization Name: Northwest Pediatric Services, S.c.
Primary Specialty: Pediatrics
Enumeration Date: Feb 12, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 373 SUMMIT ST
Address 2: SUITE 102
City: Elgin
State: Illinois
ZIP Code: 60120-3733
Phone: (847) 888-3631

Authorized Official

Name: DR. ORAWAN SUKAVACHANA, M.D.
Title: PRESIDENT
Phone: (847) 888-3631

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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