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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

NPI Number 1902130339
LBN Legal business name AURORA CHICAGO LAKESHORE HOSPITAL LLC
Authorized official PHYLLIS REMER - (BILLING MGR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2009
Last updated 11/23/2009 - About 17 years ago
Identifiers
IL License # 036109024
IL License # 036111615
IL License # 036113400
IL License # 036118379
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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