| NPI | 1407892318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA LYNN KOO Pediatric Nurse Practitioner 773-880-3570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital Children |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2020-08-22 |