| Organization Name: | CHILDREN'S HOSPITAL OF WISCONSIN CLINICS-VERNON HILLS |
| NPI Number: | 1053586180 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMS DUNIGAN (PRESIDENT, CHILDREN'S PHYSICIAN GRP) |
| Mailing Address: | 701 Woodlands Pkwy Suite 200 Vernon Hills |
| State: | IL US |
| Postal Code: | 600613101 |
| Phone Number: | 8477935450 |
| Fax Number: | |
| NPI Enumeration Date: | 04/29/2008 |
| NPI Last Update Date: | 01/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207NP0225X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Dermatology |
| Taxonomy Specialization: | Pediatric Dermatology |
| Taxonomy Definition: | A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. |