Provider Demographics
NPI:1760247803
Name:PARADIGM PEDIATRICS CORP
Entity Type:Organization
Organization Name:PARADIGM PEDIATRICS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:NOREDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALILE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:872-225-0959
Mailing Address - Street 1:420 E WATERSIDE DR UNIT 3404
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60601-8015
Mailing Address - Country:US
Mailing Address - Phone:872-225-0959
Mailing Address - Fax:
Practice Address - Street 1:420 E WATERSIDE DR UNIT 3404
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-8015
Practice Address - Country:US
Practice Address - Phone:872-225-0959
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No202D00000XAllopathic & Osteopathic PhysiciansIntegrative MedicineGroup - Multi-Specialty