# LURIE CHILDRENS SURGICAL FOUNDATION INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LCSF INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356822050
- **Authorized official:** MS. CHERYL WITHERS CPCS (DIR OF CREDENTIALING & ENROLLMENT)
- **Authorized official phone:** (312) 227-6415

## Contact information

- **Practice address:** 225 E CHICAGO AVE, CHICAGO, IL 60611-2991
- **Practice address phone:** (800) 543-7362
- **Mailing address:** 225 E CHICAGO AVE \# 118, CHICAGO, IL 60611-2991
- **Mailing address phone:** (312) 227-6415
- **Mailing address fax:** (312) 227-9409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | — |
| 207W00000X | Ophthalmology Physician | — | — | — |
| 207XP3100X | Pediatric Orthopaedic Surgery Physician | — | NULL | — |
| 207XP3100X | Pediatric Orthopaedic Surgery Physician | — | — | — |
| 208200000X | Plastic Surgery Physician | — | NULL | — |
| 208200000X | Plastic Surgery Physician | — | — | — |
| 2086S0120X | Pediatric Surgery Physician | — | NULL | Yes |
| 2086S0120X | Pediatric Surgery Physician | — | — | Yes |
| 2088P0231X | Pediatric Urology Physician | — | NULL | — |
| 2088P0231X | Pediatric Urology Physician | — | — | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 08/22/2018
- **Last updated:** 08/24/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | F100287598 | — | IL |