Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
281PC2000X |
| NPI # | 1033272273 |
| LBN Legal business name | LA RABIDA CHILDREN'S HOSPITAL |
| Authorized official | MARK RENFREE - (CFO & VP OF ADMINISTRATION) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/19/2006 |
| Last updated | 06/10/2014 - About 12 years ago |
| Identifiers | n/a |
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LA RABIDA CHILDREN'S HOSPITAL
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| LA RABIDA CHILDREN'S HOSPITAL 6501 SOUTH PROMONTORY DRIVE CHICAGO, IL |
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