NPI 1578912457

Advanced Pediatric and Neonatal Medicine, Sc

Organisation Pediatrics Physician Bloomingdale, IL

Practice location

Address: 473 W Army Trail Rd STE 103, Bloomingdale, IL 60108-2674
Phone: (630) 529-6969
Fax: (630) 529-5993

Authorised official

Name: Sang Jo Han
Title: President
Phone: (630) 529-6969

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 036108289 (IL)

Other Pediatrics providers in Illinois →

Registry record

NPI: 1578912457
Entity type: Organization
NPI issued: 10 Jun 2016
Record last updated: 10 Jun 2016

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.