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Organization

LA RABIDA CHILDREN'S HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARK RENFREE (CFO & VP OF ADMINISTRATION)
(773) 753-8630
Entity
Organization

Contact information

Practice address
1111 E. 87TH STREET, SUITE 800, CHICAGO, IL 60619-7011
(773) 374-3748
(773) 374-6223
Mailing address
1111 E. 87TH STREET, SUITE 800, CHICAGO, IL 60619-7011
(773) 374-3748
(773) 374-6223

Taxonomy

Speciality
Code
Description
License number
State
281PC2000X
Children's Chronic Disease Hospital
Primary

Other

Enumeration date
12/19/2006
Last updated
06/10/2014
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