Provider Demographics
NPI:1538265855
Name:PEDIATRIC HEALTH ASSOCIATES LTD
Entity type:Organization
Organization Name:PEDIATRIC HEALTH ASSOCIATES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTRACTS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BORROWDALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-717-2300
Mailing Address - Street 1:636 RAYMOND DR
Mailing Address - Street 2:SUITE 205
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-9789
Mailing Address - Country:US
Mailing Address - Phone:630-717-2300
Mailing Address - Fax:630-778-8958
Practice Address - Street 1:636 RAYMOND DR
Practice Address - Street 2:SUITE 205
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-9789
Practice Address - Country:US
Practice Address - Phone:630-717-2300
Practice Address - Fax:630-778-8958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-15
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty