Provider Demographics
NPI:1720448343
Name:ON-SITE PEDIATRICS FIRST
Entity type:Organization
Organization Name:ON-SITE PEDIATRICS FIRST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:PRITESH
Authorized Official - Middle Name:J
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:847-431-8329
Mailing Address - Street 1:7501 N MILWAUKEE AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:NILES
Mailing Address - State:IL
Mailing Address - Zip Code:60714-3614
Mailing Address - Country:US
Mailing Address - Phone:847-588-2111
Mailing Address - Fax:847-588-1147
Practice Address - Street 1:7501 N MILWAUKEE AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:NILES
Practice Address - State:IL
Practice Address - Zip Code:60714-3614
Practice Address - Country:US
Practice Address - Phone:847-588-2111
Practice Address - Fax:847-588-1147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-24
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health