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CHILDREN'S MEMORIAL MEDICAL GROUP NPI 1497821706


NPI Information

NPI: 1497821706
Provider Name: CHILDREN'S MEMORIAL MEDICAL GROUP

Doing Business As: CMMG MEDICAL SPECIALISTS

Classification: Transplant Surgery - 204F00000X
Entity Type: Organization
Address:
2300 N CHILDRENS PLZ
#64
CHICAGO, IL
ZIP 60614
Phone: (312) 573-4515
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CHILDREN'S MEMORIAL MEDICAL GROUP is a transplant surgery in Chicago, IL. The provider is definition to come. CHILDREN'S MEMORIAL MEDICAL GROUP NPI is 1497821706. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cmmg Medical Specialists.

The provider's business location address is:

2300 N CHILDRENS PLZ
#64
CHICAGO, IL
ZIP 60614-363
Phone: (312) 573-4515
Fax: (312) 573-8405

The provider's authorized official is Lisa Lenz .
The authorized official title is Director and has the following contact phone number (312) 573-4512.

The enumeration date for this NPI number is 11/28/2006 and was last updated on 8/22/2020.


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
1204F00000XTransplant SurgeryYes
2208000000XPediatricsX
3207ZP0102XPathologyAnatomic Pathology & Clinical PathologyX

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: 11/14/2023

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