Organization
ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCOS GUSTAVO SOLIS LARA (CLINCIAL OFFICE COORDINATOR- REHAB)
(312) 227-3064
Entity
Organization
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-0480
(312) 227-9478
Mailing address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-0480
(312) 227-9478
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147.001607
IL
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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