Organization
LURIE CHILDRENS SURGICAL FOUNDATION INC
Active
Other names
LCSF INC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHERYL WITHERS CPCS (DIR OF CREDENTIALING & ENROLLMENT)
(312) 227-6415
Entity
Organization
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(800) 543-7362
Mailing address
225 E CHICAGO AVE # 118, CHICAGO, IL 60611-2991
(312) 227-6415
(312) 227-9409
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
—
208200000X
Plastic Surgery Physician
—
—
2086S0120X
Pediatric Surgery Physician
Primary
—
—
2088P0231X
Pediatric Urology Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F100287598
—
IL
Enumeration date
08/22/2018
Last updated
08/24/2022
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