Provider Demographics
NPI:1699801696
Name:TWENTY FIRST CENTURY PEDIATRICS
Entity type:Organization
Organization Name:TWENTY FIRST CENTURY PEDIATRICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SANKARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-778-8800
Mailing Address - Street 1:640 S WASHINGTON STREET
Mailing Address - Street 2:SUITE 224
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540
Mailing Address - Country:US
Mailing Address - Phone:630-778-8800
Mailing Address - Fax:630-778-8909
Practice Address - Street 1:6010 IL-53
Practice Address - Street 2:SUITE D
Practice Address - City:LISLE
Practice Address - State:IL
Practice Address - Zip Code:60532
Practice Address - Country:US
Practice Address - Phone:630-778-8800
Practice Address - Fax:630-778-8909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty