Organization
JACKSON PARK HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUKSANA NAZNEEN MD (PROGRAM DIRECTOR)
(773) 947-7500
Entity
Organization
Contact information
Practice address
1625 E 75TH ST, 1ST FLOOR, CHICAGO, IL 60649-3603
(773) 947-7500
Mailing address
1625 E 75TH ST, 1ST FLOOR, CHICAGO, IL 60649-3603
(773) 947-7500
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
125.060628
IL
Other
Enumeration date
11/10/2011
Last updated
01/28/2020
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