Provider Demographics
NPI:1699005272
Name:PEDIATRICS UNLIMITED PLLC
Entity type:Organization
Organization Name:PEDIATRICS UNLIMITED PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:A
Authorized Official - Last Name:CABOTAJE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-383-3010
Mailing Address - Street 1:6853 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-1023
Mailing Address - Country:US
Mailing Address - Phone:708-383-3010
Mailing Address - Fax:708-383-6475
Practice Address - Street 1:6853 NORTH AVE
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-1023
Practice Address - Country:US
Practice Address - Phone:708-383-3010
Practice Address - Fax:708-383-6475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-05
Last Update Date:2023-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036044000174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty