Organization
LARABIDA CHILDREN'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA WOLF (PRESIDENT AND CEO)
(773) 753-8631
Entity
Organization
Contact information
Practice address
6501 S PROMONTORY DR, CHICAGO, IL 60649-1003
(773) 753-8631
Mailing address
6501 S PROMONTORY DR, CHICAGO, IL 60649-1003
Taxonomy
Speciality
Code
Description
License number
State
281PC2000X
Children's Chronic Disease Hospital
Primary
—
—
Other
Enumeration date
01/17/2012
Last updated
01/17/2012
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