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Organization
LURIE CHILDREN'S MEDICAL GROUP INC
Active
Organization
LURIE CHILDREN'S MEDICAL GROUP INC
Active
Other names
Lurie Children's Medical Group Inc, LCMG Inc, Pediatric Faculty Foundation Inc
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL WITHERS (DIRECTOR CREDENTIALING ENROLLMENT)
(312) 227-6415
Entity
Organization
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-6412
(312) 227-9409
Mailing address
225 E CHICAGO AVE, BOX 118, CHICAGO, IL 60611-2991
(312) 227-6415
(312) 227-9409
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
=========
—
IL
Enumeration date
09/20/2006
Last updated
05/29/2026
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