Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
282NC2000X | A0[7] | Hospital-Children’s (PPS excluded) |
| NPI # | 1023308608 |
| LBN Legal business name | ADVOCATE LUTHERAN GENERAL HOSPITAL |
| Authorized official | MICHAEL MCKENNA - (DIO MEDICAL EDUCATION) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/15/2011 |
| Last updated | 04/15/2011 - About 15 years ago |
| Identifiers | n/a |
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