Provider Demographics
NPI:1194080978
Name:HEALTHY BEGINNINGS PEDIATRICS, S.C.
Entity type:Organization
Organization Name:HEALTHY BEGINNINGS PEDIATRICS, S.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:TREVINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-599-7533
Mailing Address - Street 1:1200 W US HIGHWAY 34
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:IL
Mailing Address - Zip Code:60545-1793
Mailing Address - Country:US
Mailing Address - Phone:630-599-7533
Mailing Address - Fax:630-599-7534
Practice Address - Street 1:1200 W US HIGHWAY 34
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:IL
Practice Address - Zip Code:60545-1793
Practice Address - Country:US
Practice Address - Phone:630-599-7533
Practice Address - Fax:630-599-7534
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-09
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036129987261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care