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LURIE CHILDREN'S MEDICAL GROUP NPI 1518033836


NPI Information

NPI: 1518033836
Provider Name: LURIE CHILDREN'S MEDICAL GROUP

Doing Business As: LCMG SPECIALTY SERVICES

Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
225 E CHICAGO AVE
CHICAGO, IL
ZIP 60611
Phone: (312) 227-4000
Get Directions

LURIE CHILDREN'S MEDICAL GROUP is a child and adolescent psychiatry psychiatry neurology in Chicago, IL. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. LURIE CHILDREN'S MEDICAL GROUP NPI is 1518033836. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lcmg Specialty Services.

The provider's business location address is:

225 E CHICAGO AVE
CHICAGO, IL
ZIP 60611-991
Phone: (312) 227-4000

The provider's authorized official is Lisa Lenz .
The authorized official title is Director and has the following contact phone number (312) 227-7121.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 1/28/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1215528MEDICARE PINILLINOIS
21637685OTHERILLINOISBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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