| Organization Name: | CHILDREN'S PHYSICIAN GROUP |
| NPI Number: | 1154597029 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS DUNIGAN (PRESIDENT, CHILDREN'S PHYSICIAN GRP) |
| Mailing Address: | 1473 Commerce Dr Algonquin |
| State: | IL US |
| Postal Code: | 601025916 |
| Phone Number: | 8476624380 |
| Fax Number: | 8476623557 |
| NPI Enumeration Date: | 05/01/2008 |
| NPI Last Update Date: | 06/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2084N0402X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Psychiatry & Neurology |
| Taxonomy Specialization: | Neurology with Special Qualifications in Child Neurology |
| Taxonomy Definition: | A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |