Organization
LA RABIDA CHILDREN'S HOSPITAL
Active
Parent organization
LA RABIDA CHILDREN'S HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
LA RABIDA CHILDREN'S HOSPITAL
Authorized official
ROLLA SWEIS PHARMD, MA (PRESIDENT & CEO)
(773) 753-8631
Entity
Organization
Contact information
Practice address
6501 SOUTH PROMONTORY DRIVE, CHICAGO, IL 60649
(773) 363-6700
(773) 363-6774
Mailing address
6501 SOUTH PROMONTORY DRIVE, CHICAGO, IL 60649
(773) 363-6700
(773) 363-6774
Taxonomy
Speciality
Code
Description
License number
State
281PC2000X
Children's Chronic Disease Hospital
0003012
IL
282NC2000X
Children's Hospital
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0160
BLUE CROSS
IL
01
—
100275950A
INDIANA MEDICAID
IN
Enumeration date
10/11/2006
Last updated
10/02/2024
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