Organization
CHILD STUDY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA JAY CHASNOFF M.D. (PRESIDENT)
(312) 726-4011
Entity
Organization
Contact information
Practice address
180 N MICHIGAN AVE STE 700, CHICAGO, IL 60601-7487
(312) 726-4011
(312) 726-4021
Mailing address
180 N MICHIGAN AVE STE 700, CHICAGO, IL 60601-7487
(312) 726-4011
(312) 726-4021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
11/21/2006
Last updated
08/22/2020
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