Organization
CHILDREN'S MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA GROBLE (RESIDENCY PROGRAM COORDINATOR)
(773) 880-4302
Entity
Organization
Contact information
Practice address
2300 N CHILDRENS PLZ # 18, CHICAGO, IL 60614-3363
(773) 880-4302
Mailing address
117 FERSON AVE, IOWA CITY, IA 52246-3505
(816) 807-3883
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Enumeration date
03/30/2009
Last updated
03/30/2009
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