CHILDREN'S PHYSICIAN GROUP – NPI #1356517221
Dermatology

A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

Health Care Provider Taxonomy Code for Dermatology

CHILDREN'S PHYSICIAN GROUP is a dermatologist located in EVANSTON, IL. NPPES has assigned the NPI number 1356517221 to CHILDREN'S PHYSICIAN GROUP on May 01, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. CHILDREN'S PHYSICIAN GROUP is also known by the name EVANSTON CLINIC. The primary taxonomy selected by this provider is 207NP0225X from the Health Care Provider Taxonomy code set, which is classified as Dermatology, specializing in Pediatric Dermatology

The NPI profile was previously updated about 18 years ago on Jun 17, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHILDREN'S PHYSICIAN GROUP below.

NPI Profile for
CHILDREN'S PHYSICIAN GROUP

NPI Number
1356517221
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHILDREN'S PHYSICIAN GROUP
Other Name: EVANSTON CLINIC
Primary location
2500 RIDGE AVE
SUITE 109
EVANSTON, IL 60201-2455
Phone: (847) 662-4380 Fax: (847) 662-3557
Mailing address
9000 W WISCONSIN AVE
MS 8000
MILWAUKEE, WI 53226-4874
Phone: (414) 266-7615 Fax: (414) 266-3803
Organization Subpart
Yes - CHILDREN'S PHYSICIAN GROUP is subpart of another organization.
Authorized Official
THOMAS DUNIGAN
PRESIDENT, CHILDREN'S PHYSICIAN GRP
Phone: (414) 266-7615
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207NP0225X
- Dermatology / Pediatric Dermatology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.