# UNIVERSITY OF CHICAGO MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528235462
- **Authorized official:** MRS. LATANYA RENEE KENNEDY RN (MSN ACNS-BC - SICKLE CELL CNS)
- **Authorized official phone:** (773) 702-0292

## Contact information

- **Practice address:** 5841 S MARYLAND AVE, CHICAGO, IL 60637
- **Practice address phone:** (773) 702-0292
- **Mailing address:** 681 CASSANDRA LANE, UNIVERSITY PARK, IL 60466
- **Mailing address phone:** (708) 362-7593

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 209007058 | IL | Yes |

## Other

- **Enumeration date:** 05/09/2008
- **Last updated:** 05/09/2008