MEDICARE: UNIVERSITY OF CHICAGO COMER CHILDREN'S HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM2500X	Medical Specialty Clinic/Center		IL

General Provider Information

NPI Number	:	1497967491
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSITY OF CHICAGO COMER CHILDREN'S HOSPITAL

Provider Business Mailing Address
First Line	:	5841 S MARYLAND AVE
Second Line	:	MC 4060
City	:	CHICAGO
State	:	IL
Zip	:	60637
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5841 S MARYLAND AVE
Second Line	:	MC 4060
City	:	CHICAGO
State	:	IL
Zip	:	60637
Country	:	US
Telephone Number	:	773-702-6808
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL ASSOCIATE
Name	:	RUTH RETONDO-RUDINSKY
Credential	:	MD
Telephone Number	:	773-702-6808

Provider Enumeration Date	:	05/04/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1427575190 — TERRYA V MILLER APN-CNP
Practice Location Address:

5841 S MARYLAND AVE
CHICAGO, IL
60637-1443

Practice Phone: 888-824-0200
Practice Fax:

1972303345 — YUKA KOYAMA
Practice Location Address:

5841 S MARYLAND AVE
CHICAGO, IL
60637-1443

Practice Phone: 773-702-6842
Practice Fax:

1508673450 — FEZAAN KAZI
Practice Location Address:

5841 S MARYLAND AVE
CHICAGO, IL
60637-1443

Practice Phone: 773-702-2123
Practice Fax:

1689323768 — SARI MICHELLE GRAD
Practice Location Address:

5841 S MARYLAND AVE # 2030
CHICAGO, IL
60637-1443

Practice Phone: 773-702-6222
Practice Fax:

1336975077 — RENEWED POWER INC
Practice Location Address:

615 E 67TH ST
CHICAGO, IL
60637-4122

Practice Phone: 708-791-2444
Practice Fax:

1740121078 — SKYE TRACEY
Practice Location Address:

5841 S MARYLAND AVE
CHICAGO, IL
60637-1443

Practice Phone: 773-702-6840
Practice Fax:

1528869054 — KARAN DIPAK MODI
Practice Location Address:

5841 S MARYLAND AVE
CHICAGO, IL
60637-1443

Practice Phone: 773-702-1000
Practice Fax: 773-834-0748

Directions to “UNIVERSITY OF CHICAGO COMER CHILDREN'S HOSPITAL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.