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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PEDIATRIC AND ADOLESCENT HEALTHY LIFESTYLE CENTER, LLC

Active Organization

PEDIATRIC AND ADOLESCENT HEALTHY LIFESTYLE CENTER, LLC is a Pediatrics organization located in DOWNERS GROVE, Illinois. NPI 1649518010 is currently active in the NPPES registry. Verify at CMS.

Pediatrics · DOWNERS GROVE, IL

Registration Details

NPI Number
1649518010
Provider Type
Organization
NPI Issued
Jan 20, 2013 (13.594325009368 yrs)
Last Updated
Jan 28, 2013
License
036-096730 (IL)

Practice Information

Address
2525 OGDEN AVE
DOWNERS GROVE, IL, 605151708
Browse IL providers · Browse ZIP 60515
Phone
8472071121
Fax
6303108614
Primary Specialty
Pediatrics
208000000X

Other Pediatrics Organizations in DOWNERS GROVE, IL

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.