NPI | 1346207784 |
---|---|
Doing Business As | IDEAL PEDIATRICS |
Entity Type | Organization |
Authorized Contact | JOSEPH E CANGAS Managing Member 618-281-4325 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: IL 036110913) |
Enumeration Date | 2006-04-28 |
Last Update Date | 2019-03-12 |