Healthcare Provider Details

I. General information

NPI: 1851543359
Provider Name (Legal Business Name): LAUREN K CONTI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/15/2008
Last Update Date: 12/17/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5721 S MARYLAND AVE UNIV OF CHICAGO COMER CHILDREN'S HOSPITAL
CHICAGO IL
60637-1425
US

IV. Provider business mailing address

5721 S MARYLAND AVE UNIV OF CHICAGO COMER CHILDREN'S HOSPITAL
CHICAGO IL
60637-1425
US

V. Phone/Fax

Practice location:
  • Phone: 773-702-1000
  • Fax:
Mailing address:
  • Phone: 773-702-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number125052836
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: