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General NPI Number Information
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NPI Number | 1013493824
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Entity Type | Organization
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Legal Business Name | ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO
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Dates
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Enumeration Date | 07/15/2018
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 1121 TECHNY RD
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City | NORTHBROOK
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State | IL
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Zip | 60062-5503
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Country | US
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Telephone | 312-227-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 225 E CHICAGO AVE # 44
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City | CHICAGO
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State | IL
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Zip | 60611-2991
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Country | US
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Telephone | 312-227-4000
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Fax |
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Authorized Official
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Title or Position | SVP AND CHIEF FINANCIAL OFFICER
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Name | ALEX P MILLER
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Credential |
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Telephone | 312-227-1520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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