Organization
CHILDRENS MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY G OTWELL MSCCA (SENIOR PEDIATRIC AUDIOLOGIST)
(773) 975-8650
Entity
Organization
Contact information
Practice address
2731 HARRISON ST, EVANSTON, IL 60201-1215
(847) 425-9404
Mailing address
2300 N CHILDRENS PLZ, CHICAGO, IL 60614-3363
(773) 880-4530
(773) 880-6618
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
147.000686
IL
Other
Enumeration date
01/22/2007
Last updated
07/02/2008
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