PEDIATRIX MEDICAL GROUP OF ILLINOIS PC - NPI 1902903610

Q: What is Pediatrix Medical Group Of Illinois PC's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

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About Pediatrix Medical Group Of Illinois Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIX MEDICAL GROUP OF ILLINOIS PC (NPI 1902903610) is a healthcare organization registered as a neonatal-perinatal medicine in Rockford, Illinois and active in the NPI registry since September 2006. The organization lists Arnold M Poole, Signing Authority, as its authorized official.

NPPES Registry Identity

NPI1902903610

Entity TypeOrganization

Primary Taxonomy2080N0001X

Legal Business NamePEDIATRIX MEDICAL GROUP OF ILLINOIS PC

Location Address1401 E STATE STRockford, IL 61104-2315

Mailing Address1500 Concord TerSunrise, FL 33323-2815 · (800) 243-3839 · Fax (844) 686-2961

Phone(815) 489-4177

Fax(815) 490-5906

Organization SubpartNo

Authorized OfficialArnold M PooleSigning Authority · (954) 384-0175

Enumeration DateSeptember 17, 2006

Last NPPES UpdateFebruary 1, 2018

✔ NPI 1902903610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X

Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X

1401 E STATE ST, Rockford, IL 61104

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. MANISHA AJIT PATEL DPT

Physical Therapist