Organization
CHILDRENS MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ROUTBURG (ADMINISTRATOR)
(773) 880-4850
Entity
Organization
Contact information
Practice address
2300 N CHILDRENS PLZ, CHICAGO, IL 60614-3363
(773) 880-4850
Mailing address
2300 N CHILDRENS PLZ, CHICAGO, IL 60614-3363
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
149013380
IL
Other
Enumeration date
01/04/2010
Last updated
01/04/2010
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