Provider Demographics
NPI:1881769123
Name:ADVANCED PEDIATRIC CARE, LTD.
Entity type:Organization
Organization Name:ADVANCED PEDIATRIC CARE, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MOAZZAM
Authorized Official - Middle Name:
Authorized Official - Last Name:SAEED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:815-838-7337
Mailing Address - Street 1:300 READ ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:LOCKPORT
Mailing Address - State:IL
Mailing Address - Zip Code:60441-3265
Mailing Address - Country:US
Mailing Address - Phone:815-838-7337
Mailing Address - Fax:815-838-5007
Practice Address - Street 1:300 READ ST
Practice Address - Street 2:SUITE D
Practice Address - City:LOCKPORT
Practice Address - State:IL
Practice Address - Zip Code:60441-3265
Practice Address - Country:US
Practice Address - Phone:815-838-7337
Practice Address - Fax:815-838-5007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty