Provider Demographics
NPI:1033292776
Name:WEE CARE PEDIATRICS INC
Entity type:Organization
Organization Name:WEE CARE PEDIATRICS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MGR
Authorized Official - Prefix:MR
Authorized Official - First Name:DOMINICK
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARIZIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-352-9910
Mailing Address - Street 1:455 S ROSELLE RD
Mailing Address - Street 2:STE 209
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-2971
Mailing Address - Country:US
Mailing Address - Phone:847-352-9910
Mailing Address - Fax:847-352-4471
Practice Address - Street 1:455 S ROSELLE RD
Practice Address - Street 2:STE 209
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-2971
Practice Address - Country:US
Practice Address - Phone:847-352-9910
Practice Address - Fax:847-352-4471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL03608602OtherBCBS PROVIDER NUMBER