Provider Demographics
NPI:1073794079
Name:DINCER PEDIATRICS, LTD
Entity Type:Organization
Organization Name:DINCER PEDIATRICS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TULAY
Authorized Official - Middle Name:F
Authorized Official - Last Name:DINCER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:618-233-7244
Mailing Address - Street 1:520 FULLERTON RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:SWANSEA
Mailing Address - State:IL
Mailing Address - Zip Code:62226-2970
Mailing Address - Country:US
Mailing Address - Phone:618-233-7244
Mailing Address - Fax:618-233-7171
Practice Address - Street 1:520 FULLERTON RD
Practice Address - Street 2:SUITE A
Practice Address - City:SWANSEA
Practice Address - State:IL
Practice Address - Zip Code:62226-2970
Practice Address - Country:US
Practice Address - Phone:618-233-7244
Practice Address - Fax:618-233-7171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-19
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty