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Organization
LURIE CHILDREN'S MEDICAL GROUP
Active
Organization
LURIE CHILDREN'S MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA NOBLE (CFO)
(312) 227-7200
Entity
Organization
Contact information
Practice address
467 W DEMING PL, SUITE 900, CHICAGO, IL 60614-1881
(773) 327-2950
Mailing address
225 E CHICAGO AVE, #64, CHICAGO, IL 60611-2991
(312) 227-7200
(312) 227-9150
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
NULL
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
07/09/2013
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