Provider Demographics
NPI:1821126731
Name:STRATFORD PEDIATRICS ASSOCIATES, LTD
Entity Type:Organization
Organization Name:STRATFORD PEDIATRICS ASSOCIATES, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:ZUCKERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:630-893-3953
Mailing Address - Street 1:231 S GARY AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60108-2227
Mailing Address - Country:US
Mailing Address - Phone:630-893-3953
Mailing Address - Fax:630-893-9570
Practice Address - Street 1:231 S GARY AVE STE 108
Practice Address - Street 2:
Practice Address - City:BLOOMINGDALE
Practice Address - State:IL
Practice Address - Zip Code:60108-2227
Practice Address - Country:US
Practice Address - Phone:630-893-3953
Practice Address - Fax:630-893-9570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty