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Organization

UNIVERSITY OF CHICAGO MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LATANYA RENEE KENNEDY RN (MSN ACNS-BC - SICKLE CELL CNS)
(773) 702-0292
Entity
Organization

Contact information

Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637
(773) 702-0292
Mailing address
681 CASSANDRA LANE, UNIVERSITY PARK, IL 60466
(708) 362-7593

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
209007058
IL

Other

Enumeration date
05/09/2008
Last updated
05/09/2008
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