Provider Demographics
NPI:1326086836
Name:KIDS' HEALTH PARTNERS, LLC
Entity Type:Organization
Organization Name:KIDS' HEALTH PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:CELESTE
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-677-7250
Mailing Address - Street 1:9631 GROSS POINT RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60076-1264
Mailing Address - Country:US
Mailing Address - Phone:847-677-7250
Mailing Address - Fax:847-677-7251
Practice Address - Street 1:9631 GROSS POINT RD
Practice Address - Street 2:SUITE 2
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60076-1264
Practice Address - Country:US
Practice Address - Phone:847-677-7250
Practice Address - Fax:847-677-7251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-04
Last Update Date:2014-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care