PEDIATRIC SPECIALIST OF THE NW MDSC

CRYSTAL LAKE, IL
NPI1598765521
Entity TypeOrganization
Authorized ContactCHARLES BRAVERMAN
Authorized Official
843-381-5005
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2005-08-01
Last Update Date2022-07-21
Business Address
PEDIATRIC SPECIALIST OF THE NW MDSC
475 W TERRA COTTA AVE STE 01
CRYSTAL LAKE, IL 60014-3407
Phone number: 847-381-5005
Mailing Address
PEDIATRIC SPECIALIST OF THE NW MDSC
5057 SHORELINE RD
LAKE BARRINGTON, IL 60010-1700
Phone number: 847-383-1500
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