Pediatrix Medical Group of Illinois PC

NPI #1902903610 in Rockford, Illinois

Provider Information

NPI Number: 1902903610
Entity Type: Organization
Organization Name: Pediatrix Medical Group of Illinois PC
Primary Specialty: Pediatrics - Neonatal-Perinatal Medicine
Enumeration Date: Sep 17, 2006
Last Updated: Feb 1, 2018

Practice Location

Address: 1401 E STATE ST
City: Rockford
State: Illinois
ZIP Code: 61104-2315
Phone: (815) 489-4177

Authorized Official

Name: ARNOLD M POOLE
Title: SIGNING AUTHORITY
Phone: (954) 384-0175

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Pediatrics - Pediatric Critical Care Medicine — Pediatric Critical Care Medicine	2080P0203X
Pediatrics - Neonatal-Perinatal Medicine — Neonatal-Perinatal Medicine	2080N0001X	Primary

Similar Providers

Provider Name	Specialty	City
Kimberly Remedios-Smith, M.D.	Pediatrics - Neonatal-Perinatal Medicine	Rockford	AI Deep Dive
DR. Gail Sharon Haiken, M.D.	Pediatrics - Neonatal-Perinatal Medicine	Rockford	AI Deep Dive
Patricia I. Ittmann, DO	Pediatrics - Neonatal-Perinatal Medicine	Rockford	AI Deep Dive
DR. Frank Hernandez, MD	Pediatrics - Neonatal-Perinatal Medicine	Rockford	AI Deep Dive
Ashraf Abdurrazagh Baeshu, M.D	Pediatrics - Neonatal-Perinatal Medicine	Rockford	AI Deep Dive

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