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Organization
LA RABIDA CHILDREN'S HOSPITAL
Active
Organization
LA RABIDA CHILDREN'S HOSPITAL
Active
Parent organization
LA RABIDA CHILDREN'S HOSPITAL
Other names
Child and Family Connections #10
Organization subpart
Yes
Provider details
NPI number
Legal business name
LA RABIDA CHILDREN'S HOSPITAL
Authorized official
MARK RENFREE (CFO)
(773) 753-8630
Entity
Organization
Contact information
Practice address
1525 E 55TH ST STE 203, CHICAGO, IL 60615-5583
(773) 324-7434
Mailing address
6501 S PROMONTORY DR, CHICAGO, IL 60649-1003
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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