Organization
CHILDREN'S RESEARCH TRIANGLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRA J CHASNOFF M.D. (PRESIDENT)
(312) 726-4011
Entity
Organization
Contact information
Practice address
180 N MICHIGAN AVE, SUITE 180, CHICAGO, IL 60601-7401
(312) 726-4011
(312) 726-4021
Mailing address
180 N MICHIGAN AVE, SUITE 180, CHICAGO, IL 60601-7401
(312) 726-4011
(312) 726-4021
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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