Austin Street Pediatrics, LLC

NPI #1790951317 in Evanston, Illinois

Provider Information

NPI Number: 1790951317
Entity Type: Organization
Organization Name: Austin Street Pediatrics, LLC
Primary Specialty: Pediatrics
Enumeration Date: May 4, 2008
Last Updated: May 4, 2008

Practice Location

Address: 800 AUSTIN ST
Address 2: SUITE 463, EAST TOWER
City: Evanston
State: Illinois
ZIP Code: 60202-3439
Phone: (847) 475-8711

Authorized Official

Name: DR. RANULFO CABRERA, M.D.
Title: OWNER
Phone: (847) 475-8711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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