NPI 1003100942

Cicero Pediatrics

Organisation Pediatrics Physician Cicero, IL

Practice location

Address: 5307 W Cermak Rd, Cicero, IL 60804-2817
Phone: (708) 477-6700
Fax: (708) 477-6704

Authorised official

Name: Khudsia Rana Irfan
Title: Owner
Phone: (630) 797-1411

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 036120132 (IL)

Other Pediatrics providers in Illinois →

Registry record

NPI: 1003100942
Entity type: Organization
NPI issued: 8 Jun 2011
Record last updated: 8 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.