Organization
SHRINERS HOSPITALS FOR CHILDREN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK NIEDERPRUEM FACHE (ADMINISTRATOR)
(773) 385-5445
Entity
Organization
Contact information
Practice address
2211 N OAK PARK AVE, CHICAGO, IL 60707-3351
(773) 622-5400
(773) 385-5453
Mailing address
PO BOX 8500, LOCKBOX #7642, PHILADELPHIA, PA 19178-7642
(813) 218-8478
(813) 281-8113
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
—
—
282NC2000X
Children's Hospital
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376656538
—
IA
05
—
1376656538
—
MI
05
—
201076690A
—
IN
Enumeration date
08/15/2006
Last updated
07/21/2022
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