NPI 1518126648

Elzoobi Pediatrics LTD

Organisation Pediatrics Physician Swansea, IL

Practice location

Address: 3214 N Illinois St, Swansea, IL 62226-2330
Phone: (618) 233-0742
Fax: (618) 233-9784

Authorised official

Name: Khaldoun Elzoobi
Title: Owner
Phone: (618) 233-0742

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 036090591 (IL)

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Registry record

NPI: 1518126648
Entity type: Organization
NPI issued: 4 Jun 2008
Record last updated: 21 Apr 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.