OrganizationActive
Adolescent and Young Adult Place Ltd
NPI 1417259979 · Pediatric Adolescent Medicine Physician · Chicago, IL
Provider details
- NPI number
- 1417259979
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Margo Bell, Owner
- License
- 036086432 (IL)
Mailing address
Po Box 795
Hillside, IL 60162-0795
Registry dates
- Enumerated
- 2010-12-03
- Last updated
- 2010-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.