Adolescent And Young Adult Place Ltd
Pediatric Adolescent Medicine
Adolescent And Young Adult Place Ltd is a Chicago, Illinois based Pediatric center with medical specialization in
Pediatric Adolescent Medicine.
It is located at
9 N Cicero Ave, Chicago, Illinois - 60644-3602. They can be contacted on phone at
312-859-2491.
NPI number (Unique professional ID) for Adolescent And Young Adult Place Ltd is
1417259979 which was assigned by NPPES on 03 Dec, 2010 and it was last updated on 03 Dec, 2010.
Adolescent And Young Adult Place Ltd license number is
036086432 for Pediatrics Adolescent Medicine (2080A0000X) in Illinois.
Adolescent And Young Adult Place Ltd specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Adolescent And Young Adult Place Ltd basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Adolescent And Young Adult Place Ltd |
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Business Address:
Adolescent And Young Adult Place Ltd address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 9 N Cicero Ave
Chicago, IL, 60644-3602
United States |
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| Phone Number : | 312-859-2491 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1417259979 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 03 Dec, 2010 |
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| Last Updated On : | 03 Dec, 2010 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Margoantoinette Bell |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | OWNER |
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| Phone Number : | 312-859-2491 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Adolescent And Young Adult Place Ltd are as mentioned. Primary taxonomy code for Adolescent And Young Adult Place Ltd is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 036086432 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Adolescent And Young Adult Place Ltd such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 036086432 | MEDICAID | IL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 795
Hillside, IL, 60162-0795
United States |
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| Phone Number : | 708-544-6553 |
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Business Location:
Patients can refer following map for directions to
Adolescent And Young Adult Place Ltd practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.