| Entity Name: | PEDIATRIC MEDICAL PROVIDERS POF NEW YORK PC LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | NGS |
| Date Formed: | 12 Oct 2023 |
| Company Number: | LLC_13854785 |
| File Number: | 13854785 |
| Type of Management: | Manager Managed |
| Date Status Change: | 01 Oct 2024 |
| Address | 7630 S ESSEX, CHICAGO, 60649, IL |
| Place of Formation: | ILLINOIS |
| Name and Address | Role | Appointment Date |
|---|---|---|
| BRANDON JOHNSON, 1400 S WABASH, CHICAGO, 60649 | Agent | 2023-10-12 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| DEVERON ERIC LEE, 7630 S ESSEX AVE, CHICAGO, IL, 60649 | Manager | 2023-10-12 |
Date of last update: 13 Jan 2025
