Organization
ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KALYN MAHONEY (APN)
(920) 540-2554
Entity
Organization
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4000
Mailing address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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