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CHICAGOLAND UNIVERSITY PEDIATRIC SURGERY LLC NPI 1245746213


NPI Information

NPI: 1245746213
Provider Name: CHICAGOLAND UNIVERSITY PEDIATRIC SURGERY, LLC
Classification: Surgery - 2086S0120X
Entity Type: Organization

Specialization: Pediatric Surgery

Address:
2900 N LAKE SHORE DR
CHICAGO, IL
ZIP 60657
Phone: (773) 665-3000
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CHICAGOLAND UNIVERSITY PEDIATRIC SURGERY, LLC is a pediatric surgery surgery in Chicago, IL. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. CHICAGOLAND UNIVERSITY PEDIATRIC SURGERY, LLC NPI is 1245746213. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2900 N LAKE SHORE DR
CHICAGO, IL
ZIP 60657-640
Phone: (773) 665-3000

The provider's authorized official is James Noble .
The authorized official title is Revenue Manager and has the following contact phone number (630) 424-1122.

The enumeration date for this NPI number is 12/28/2017 and was last updated on 12/28/2017.


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
12086S0120XSurgeryPediatric SurgeryYes

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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