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General NPI Number Information
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NPI Number | 1124724919
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Entity Type | Organization
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Legal Business Name | LURIE CHILDREN'S HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 02/02/2023
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Last Update Date | 06/26/2024
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Provider Practice Location Address
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Address Line | 3105 N WILKE RD STE H
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60004-1450
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Country | US
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Telephone | 847-255-8690
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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 |
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | ALEXANDER 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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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