Organization
LUTHERAN GENERAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM HOBBS (MANAGER)
(847) 723-2210
Entity
Organization
Contact information
Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-2210
Mailing address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-2210
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD2143
PALMETTO GBA
IL
Enumeration date
08/14/2006
Last updated
03/21/2008
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