Provider Demographics
NPI:1417047598
Name:KIDS FIRST PEDIATRICS, LTD
Entity Type:Organization
Organization Name:KIDS FIRST PEDIATRICS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KOVAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:815-609-5437
Mailing Address - Street 1:24600 W 127TH ST
Mailing Address - Street 2:BUILDING B, SUITE 345
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60585-9502
Mailing Address - Country:US
Mailing Address - Phone:815-609-5437
Mailing Address - Fax:815-609-8111
Practice Address - Street 1:24600 W 127TH ST
Practice Address - Street 2:BUILDING B, SUITE 345
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60585-9502
Practice Address - Country:US
Practice Address - Phone:815-609-5437
Practice Address - Fax:815-609-8111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2012-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL55361293208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1417047598OtherNPID