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Contact Information

AURORA CHICAGO LAKESHORE HOSPITAL LLC
4840 N MARINE DR
CHICAGO, IL60640-7860
 Phone: 773-878-9700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for AURORA CHICAGO LAKESHORE HOSPITAL LLC · (Female)

NPI Number 1902130339
Status Active
Credentials
Entity Individual
Enumeration date 10/02/2009
Last updated 11/23/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • IL License # 036109024
  • IL License # 036111615
  • IL License # 036113400
  • IL License # 036118379
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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