Provider Demographics
NPI:1659446755
Name:CHILDRENS HEALTH ASSOC LTD
Entity Type:Organization
Organization Name:CHILDRENS HEALTH ASSOC LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:SANTO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-981-3677
Mailing Address - Street 1:800 BIESTERFIELD RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ELK GROVE VILLAGE
Mailing Address - State:IL
Mailing Address - Zip Code:60007-3361
Mailing Address - Country:US
Mailing Address - Phone:847-981-3677
Mailing Address - Fax:847-690-0215
Practice Address - Street 1:800 BIESTERFIELD RD
Practice Address - Street 2:SUITE 105
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-3361
Practice Address - Country:US
Practice Address - Phone:847-981-3677
Practice Address - Fax:847-690-0215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty