| Organization Name: | PEDIATRIC ASSOCIATES OF BARRINGTON, S.C. |
| NPI Number: | 1598807075 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JUDITH A BROWN (PRESIDENT) |
| Mailing Address: | 912 Northwest Highway Suite G-7 Fox River Grove |
| State: | IL US |
| Postal Code: | 60021 |
| Phone Number: | 8473816700 |
| Fax Number: | 8473816828 |
| NPI Enumeration Date: | 02/13/2007 |
| NPI Last Update Date: | 11/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 042006251 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |