Organization
CHICAGOLAND UNIVERSITY PEDIATRIC SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES NOBLE (REVENUE MANAGER)
(630) 424-1122
Entity
Organization
Contact information
Practice address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(773) 665-3000
Mailing address
13400 S ROUTE 59 STE 116-208, PLAINFIELD, IL 60585-5826
(630) 424-1122
(630) 396-2677
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
—
—
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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