Lurie Childrens Primary Care LLC

NPI #1134590995 in Chicago, Illinois

Provider Information

NPI Number: 1134590995
Entity Type: Organization
Organization Name: Lurie Childrens Primary Care LLC
Subpart: Yes (part of a larger organization)
Parent Organization: CHILDRENS HOSPITAL OF CHICAGO
Primary Specialty: Pediatrics
Enumeration Date: Oct 19, 2015
Last Updated: Sep 28, 2021

Practice Location

Address: 1460 N HALSTED ST
Address 2: SUITE 402
City: Chicago
State: Illinois
ZIP Code: 60642-2605
Phone: (312) 279-8900

Authorized Official

Name: CHERYL WITHERS
Title: DIRECTOR
Phone: (312) 227-6415

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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