Northern Illinois University
Pediatrics
Northern Illinois University is a Dekalb, Illinois based Pediatric center with medical specialization in
General Pediatrics. Northern Illinois University is doing business as
Northern Illinois University Sports Medicine.
It is located at
1425 W Lincoln Hwy, Convocation Center, Dekalb, Illinois - 60115-2828. They can be contacted on phone at
815-753-7225.
NPI number (Unique professional ID) for Northern Illinois University is
1700332392 which was assigned by NPPES on 01 Sep, 2016 and it was last updated on 01 Sep, 2016.
Northern Illinois University license number is
036.08668 for Pediatrics (208000000X) in Illinois.
Northern Illinois University 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:
Northern Illinois University basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Northern Illinois University |
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| Other Name : | Northern Illinois University Sports Medicine |
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Business Address:
Northern Illinois University 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 : | 1425 W Lincoln Hwy, Convocation Center
Dekalb, IL, 60115-2828
United States |
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| Phone Number : | 815-753-7225 |
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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 : | 1700332392 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 01 Sep, 2016 |
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| Last Updated On : | 01 Sep, 2016 |
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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 : | Mouzon Bass |
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| Official Title or Position : | AGENT |
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| Phone Number : | 972-367-4845 |
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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 Northern Illinois University are as mentioned. Primary taxonomy code for Northern Illinois University is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 036.08668 | 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 : | 5050 Spring Valley Rd.
Dallas, TX, 75244-3909
United States |
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Business Location:
Patients can refer following map for directions to
Northern Illinois University practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.