NPI 1780295683

Moonlight Pediatrics LLC

Organisation Pediatrics Physician Swansea, IL

Practice location

Address: 1 Bronze Pointe Blvd STE 1a, Swansea, IL 62226-1045
Phone: (216) 778-0808
Mailing address: 866 Revere Dr, Saint Louis, MO 63141-8818

Authorised official

Name: Qamar Zaman
Title: Director
Phone: (216) 778-0808

Registered specialties (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Illinois →

Urgent Care Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QU0200X

Other Clinic/Center providers in Illinois →

Registry record

NPI: 1780295683
Entity type: Organization
NPI issued: 13 Aug 2020
Record last updated: 18 Aug 2020

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.