Organization
LURIE CHILDRENS PRIMARY CARE LLC
Active
Parent organization
CHILDRENS HOSPITAL OF CHICAGO
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHILDRENS HOSPITAL OF CHICAGO
Authorized official
CHERYL WITHERS (DIRECTOR)
(312) 227-6415
Entity
Organization
Contact information
Practice address
1460 N HALSTED ST, SUITE 402, CHICAGO, IL 60642-2605
(312) 279-8900
Mailing address
225 E CHICAGO AVE # 118, CHICAGO, IL 60611-2991
(312) 227-6415
(312) 227-9409
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/19/2015
Last updated
09/28/2021
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