Genesis Pediatric Medicine, Llc
Pediatrics
Genesis Pediatric Medicine, Llc is a Sycamore, Illinois based Pediatric center with medical specialization in
General Pediatrics.
It is located at
1830 Mediterranean Dr, Sycamore, Illinois - 60178-3144. They can be contacted on phone at
815-899-0001 and fax number 815-899-0002.
NPI number (Unique professional ID) for Genesis Pediatric Medicine, Llc is
1912295494 which was assigned by NPPES on 18 Jul, 2011 and it was last updated on 18 Jul, 2011.
Genesis Pediatric Medicine, Llc license number is
036097453 for Pediatrics (208000000X) in Illinois.
Genesis Pediatric Medicine, Llc is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Genesis Pediatric Medicine, Llc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Genesis Pediatric Medicine, Llc |
|---|
Business Address:
Genesis Pediatric Medicine, Llc 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 : | 1830 Mediterranean Dr
Sycamore, IL, 60178-3144
United States |
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| Phone Number : | 815-899-0001 |
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| Fax Number : | 815-899-0002 |
|---|
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 : | 1912295494 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 18 Jul, 2011 |
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| Last Updated On : | 18 Jul, 2011 |
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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 : | Markalan Regnier |
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| Authorized Official Credential : | M.D. |
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| Official Title or Position : | PRESIDENT |
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| Phone Number : | 815-899-0001 |
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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 Genesis Pediatric Medicine, Llc are as mentioned. Primary taxonomy code for Genesis Pediatric Medicine, Llc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 036097453 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Genesis Pediatric Medicine, Llc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 036097453 | 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 : | 1830 Mediterranean Dr
Sycamore, IL, 60178-3144
United States |
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| Phone Number : | 815-899-0001 |
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| Fax Number : | 815-899-0002 |
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Business Location:
Patients can refer following map for directions to
Genesis Pediatric Medicine, Llc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.