Provider Demographics
NPI:1780722967
Name:CHILDREN'S HEALTH CARE, LTD.
Entity type:Organization
Organization Name:CHILDREN'S HEALTH CARE, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:KROIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-215-5222
Mailing Address - Street 1:201 E STRONG ST STE 6
Mailing Address - Street 2:
Mailing Address - City:WHEELING
Mailing Address - State:IL
Mailing Address - Zip Code:60090-2979
Mailing Address - Country:US
Mailing Address - Phone:847-215-5222
Mailing Address - Fax:847-215-5142
Practice Address - Street 1:201 E STRONG ST STE 6
Practice Address - Street 2:
Practice Address - City:WHEELING
Practice Address - State:IL
Practice Address - Zip Code:60090-2979
Practice Address - Country:US
Practice Address - Phone:847-215-5222
Practice Address - Fax:847-215-5142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty