Organization
CHILDREN'S MEMORIAL MEDICAL GROUP
Active
Other names
CMMG Medical Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
LISA LENZ (DIRECTOR)
(312) 573-4512
Entity
Organization
Contact information
Practice address
2300 N CHILDRENS PLZ, #64, CHICAGO, IL 60614-3363
(312) 573-4515
(312) 573-8405
Mailing address
2300 N CHILDRENS PLZ, #64, CHICAGO, IL 60614-3363
(312) 573-4515
(312) 573-8405
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
11/28/2006
Last updated
09/11/2025
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