Osf Children's Medical Group - Congenital Heart Center, LLC

NPI #1821380064 in Rockford, Illinois

Provider Information

NPI Number: 1821380064
Entity Type: Organization
Organization Name: Osf Children's Medical Group - Congenital Heart Center, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: OSF HEALTHCARE SYSTEM
Primary Specialty: Pediatrics - Pediatric Cardiology
Enumeration Date: May 6, 2011
Last Updated: May 6, 2011

Practice Location

Address: 5701 STRATHMOOR DR
Address 2: STE 1
City: Rockford
State: Illinois
ZIP Code: 61107-5182
Phone: (815) 227-5600

Authorized Official

Name: KEVIN D SCHOEPLEIN
Title: CEO
Phone: (309) 655-2880

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics - Pediatric Cardiology — Pediatric Cardiology	2080P0202X	Primary

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