| NPI | 1649638685 |
|---|---|
| Other Name | SOUTH PARK PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | WENDELL A WHEELER President 708-225-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IL 036068196) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2016-02-05 |