Organization
LAKEVIEW HEALTH NETWORK LLC
Active
Parent organization
THOREK MEMORIAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
THOREK MEMORIAL HOSPITAL
Authorized official
ANNA ROTH (LEGAL COUNSEL)
(773) 975-6747
Entity
Organization
Contact information
Practice address
850 W IRVING PARK RD, CHICAGO, IL 60613-3077
(773) 975-6747
Mailing address
850 W IRVING PARK RD, CHICAGO, IL 60613-3077
(773) 975-6747
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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