South Shore Hospital Corporation

NPI #1225479470 in Chicago, Illinois

Provider Information

NPI Number: 1225479470
Entity Type: Organization
Organization Name: South Shore Hospital Corporation
Primary Specialty: Registered Nurse
Enumeration Date: Jul 16, 2013
Last Updated: Dec 31, 2013

Practice Location

Address: 8012 S CRANDON AVE
City: Chicago
State: Illinois
ZIP Code: 60617-1124
Phone: (773) 356-5200

Authorized Official

Name: MR. LESLIE M. ROGERS, CHE
Title: ADMINISTRATOR
Phone: (773) 356-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X
Registered Nurse	163W00000X	Primary

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