Organization
CHILDREN'S MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUE M PARK APN (NURSE PRACTITIONER)
(773) 880-4006
Entity
Organization
Contact information
Practice address
1250 S MICHIGAN AVE APT 810, CHICAGO, IL 60605-3268
(773) 991-9108
Mailing address
1250 S MICHIGAN AVE APT 810, CHICAGO, IL 60605-3268
(773) 991-9108
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
—
—
Other
Enumeration date
06/27/2008
Last updated
06/27/2008
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