Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bloomingdale General Pediatrics

Organization Pediatrics Physician · NPI 1295822120

Bloomingdale General Pediatrics is a Pediatrics Physician in Bloomingdale, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006

Practice location Address checks out

109 Fairfield Way Ste 103
Bloomingdale, IL 60108-1583
Phone: (630) 894-3250
Fax: (630) 894-3280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 036067770 (IL)

Record details

NPI number1295822120
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edwin Pascual — President · (630) 894-3250
NPI enumeratedOctober 10, 2006
Last updated in NPPESMay 20, 2008
Mailing address109 Fairfield Way, Suite 103, Bloomingdale, IL 60108-1583

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