National Provider Identifier Database

ILLINOIS MASONIC HOSPITAL
Women


Contact Information

ILLINOIS MASONIC HOSPITAL
3048 N WILTON AVE
3RD FLOOR
CHICAGO, IL60657-6710
Phone: 773-296-3098
Fax:
Website:
Specialty Taxonomy Code
* Women 282NW0100X

* Indicates primary specialty

NPI Profile & details for ILLINOIS MASONIC HOSPITAL

NPI Number 1083040786
Legal business name
LBN
ILLINOIS MASONIC HOSPITAL
Authorized official LISE HAUSER - (SUPERVISOR OF CNM SERVICES)
Entity Organization
Organization subpart No
Enumeration date 09/25/2013
Last updated 09/25/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 209.010657

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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