Provider Demographics
NPI:1720213291
Name:DRS PILDES & PIERCE SC
Entity Type:Organization
Organization Name:DRS PILDES & PIERCE SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:M
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-450-4545
Mailing Address - Street 1:675 W NORTH AVE STE 505
Mailing Address - Street 2:
Mailing Address - City:MELROSE PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60160-1626
Mailing Address - Country:US
Mailing Address - Phone:708-450-4545
Mailing Address - Fax:708-344-2629
Practice Address - Street 1:675 W NORTH AVE STE 505
Practice Address - Street 2:
Practice Address - City:MELROSE PARK
Practice Address - State:IL
Practice Address - Zip Code:60160-1626
Practice Address - Country:US
Practice Address - Phone:708-450-4545
Practice Address - Fax:708-344-2629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-27
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty