| Wupi - Pediatrics | |
|
1414 Cross St O Fallon IL 62269-2988 | |
| (314) 286-1264 | |
| (314) 286-1258 |
| Full Name | Wupi - Pediatrics |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1414 Cross St, O Fallon, Illinois |
| Authorized Official Name and Position | Cathy Eghigian (SENIOR DIRECTOR MANAGED CARE) |
| Authorized Official Contact | 3142730770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wupi - Pediatrics Po Box 7412011 Chicago IL 60674-2011 Ph: (314) 273-0770 | Wupi - Pediatrics 1414 Cross St O Fallon IL 62269-2988 Ph: (314) 286-1264 |
| NPI Number | 1528569845 |
|---|---|
| Provider Enumeration Date | 02/22/2018 |
| Last Update Date | 04/25/2025 |
| Certification Date | 04/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528569845 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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