Pediatrust, L.l.c.

NPI #1982958013 in Lake Forest, Illinois

Provider Information

NPI Number: 1982958013
Entity Type: Organization
Organization Name: Pediatrust, L.l.c.
Primary Specialty: Pediatrics
Enumeration Date: Oct 26, 2012
Last Updated: Mar 22, 2024

Practice Location

Address: 900 N WESTMORELAND RD
Address 2: SUITE 217
City: Lake Forest
State: Illinois
ZIP Code: 60045-1674
Phone: (847) 615-0700

Authorized Official

Name: DR. SUSAN SIROTA, M.D.
Title: CEO
Phone: (224) 330-6300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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