Provider Demographics
NPI:1306012653
Name:PEDIATRIC HEALTHLINK SC
Entity Type:Organization
Organization Name:PEDIATRIC HEALTHLINK SC
Other - Org Name:SWARAP KARANDE MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:YANA
Authorized Official - Middle Name:URSULA
Authorized Official - Last Name:MUNOZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-584-5000
Mailing Address - Street 1:455 S ROSELLE ROAD
Mailing Address - Street 2:SUITE #109
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193
Mailing Address - Country:US
Mailing Address - Phone:847-584-5000
Mailing Address - Fax:847-584-5001
Practice Address - Street 1:455 S ROSELLE ROAD
Practice Address - Street 2:SUITE #109
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193
Practice Address - Country:US
Practice Address - Phone:847-584-5000
Practice Address - Fax:847-584-5001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-07
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360856722080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01634117OtherBCBS
IL036085672Medicaid
IL7222506OtherAETNA
IL01634117OtherBCBS