Organization
CHILDREN'S RESEARCH TRIANGLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRA CHASNOFF MD (PRESIDENT)
(312) 726-4011
Entity
Organization
Contact information
Practice address
180 N MICHIGAN AVE STE 700, CHICAGO, IL 60601-7487
(312) 726-4011
Mailing address
180 N MICHIGAN AVE STE 700, CHICAGO, IL 60601-7487
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
180007454
IL
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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