Organization
ADVOCATE LUTHERAN GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MCKENNA M.D. (DIO MEDICAL EDUCATION)
(847) 723-7325
Entity
Organization
Contact information
Practice address
1775 W DEMPSTER ST, 8 SOUTH, PARK RIDGE, IL 60068-1143
(847) 723-8077
Mailing address
1775 W DEMPSTER ST, 8 SOUTH, PARK RIDGE, IL 60068-1143
(847) 723-8077
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
—
—
Other
Enumeration date
04/15/2011
Last updated
04/15/2011
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