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Organization

LURIE CHILDREN'S HEALTH SERVICES, LLC

Active
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Organization

LURIE CHILDREN'S HEALTH SERVICES, LLC

Active
Parent organization
CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHILDREN'S HOSPITAL OF CHICAGO MEDICAL CENTER
Authorized official
ALEXANDER MILLER (CHIEF FINANCIAL OFFICER)
(312) 227-1520
Entity
Organization

Contact information

Practice address
3105 N WILKE RD STE H, ARLINGTON HEIGHTS, IL 60004-1450
(847) 255-8690
Mailing address
225 E CHICAGO AVE # 44, CHICAGO, IL 60611-2991

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
225X00000X
Occupational Therapist
235Z00000X
Speech-Language Pathologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01618907
OTHER
IL
01
4460485
OTHER
IL
01
757769
OTHER
IL
01
945756
OTHER
IL
Enumeration date
02/02/2023
Last updated
06/26/2024
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