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Organization

LURIE CHILDRENS PRIMARY CARE LLC

Active
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Organization

LURIE CHILDRENS PRIMARY CARE LLC

Active
Parent organization
CHILDRENS HOSPITAL OF CHICAGO
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHILDRENS HOSPITAL OF CHICAGO
Authorized official
CHERYL WITHERS (DIRECTOR)
(312) 227-6415
Entity
Organization

Contact information

Practice address
1460 N HALSTED ST, SUITE 402, CHICAGO, IL 60642-2605
(312) 279-8900
Mailing address
225 E CHICAGO AVE # 118, CHICAGO, IL 60611-2991
(312) 227-6415
(312) 227-9409

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
10/19/2015
Last updated
09/28/2021
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