Progressive Pediatrics
NPI #1962648386 in Bolingbrook, Illinois
Provider Information
- NPI Number
- 1962648386
- Entity Type
- Organization
- Organization Name
- Progressive Pediatrics
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Jan 7, 2009
- Last Updated
- Jan 7, 2009
Practice Location
- Address
- 215 REMINGTON BLVD
- Address 2
- SUITE K
- City
- Bolingbrook
- State
- Illinois
- ZIP Code
- 60440-3656
- Phone
- (630) 378-1111
Authorized Official
- Name
- AYEZAH MIR, M.D
- Title
- PRESIDENT
- Phone
- (630) 378-1111
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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