Tinley Park Pediatric Associates SC
Organization Active NPI Pediatrics Physician · Tinley Park, IL
NPI 1346230232 · NPPES record last updated Oct 22, 2007
Key facts
- NPI
- 1346230232
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatrics Physician 208000000X
- Legal business name
- TINLEY PARK PEDIATRIC ASSOCIATES SC
- Practice address
- 6703 159TH St
Suite 115
Tinley Park, IL 60477-1781 - Phone
- (708) 342-7032
- Fax
- (708) 342-7085
- NPI assigned
- Oct 24, 2005
- Organization subpart
- No
Authorized official
- Name
- Denice D Cook, M.D.
- Title
- President
- Phone
- (708) 342-7032
Practitioners 2
-
Denice D Cook, M.D.
-
Lisa K Wright, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician |
208000000X | Yes |
Addresses
Primary practice location
6703 159TH St
Suite 115
Tinley Park, IL 60477-1781
Mailing address
PO Box 789
Matteson, IL 60443-0789
Phone (708) 747-5850
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1634171 | Other | BCBSIL GROUP NUMBER |
Other providers in Tinley Park, IL
- Tinley Park Apothecary LLC
- Tinley Park Chiropractic ,LTD.
- Tinley Park Mental Health Center
- Tinley Park Mental Health Center
- Tinley Park Open MRI & Imaging Center LTD
- Tinley Park Pharmacy, Inc
- Tinley Park Sleep Center LLC
- Tinley Park Surgicare
- Tinley Primary Care, LTD
- Melinda Ann Tobin
All providers in Tinley Park, IL · Pediatrics Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.