| NPI | 1518064716 |
|---|---|
| Doing Business As | LCMG INC |
| Former Legal Business Name | PEDIATRIC FACULTY FOUNDATION INC |
| Doing Business As | LURIE CHILDREN'S MEDICAL GROUP INC |
| Entity Type | Organization |
| Authorized Contact | CHERYL WITHERS Director Credentialing Enrollment 312-227-6415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2025-09-13 |