Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PEDIATRIC FUNDAMENTALS,LLC
Active OrganizationPEDIATRIC FUNDAMENTALS,LLC is a Speech, Language and Hearing Specialist organization located in CUSTER PARK, Illinois. NPI 1396155156 is currently active in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · CUSTER PARK, IL
Registration Details
- NPI Number
- 1396155156
- Provider Type
- Organization
- NPI Issued
- May 2, 2014 (12.104000836843 yrs)
- Last Updated
- May 2, 2014
- License
-
146006731 (IL)
Practice Information
- Address
-
36963 IRISH LNCUSTER PARK, IL, 604818420Browse IL providers · Browse ZIP 60481
- Phone
- 8159318595
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.