| NPI | 1619221066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS VICKERS Program Director 773-257-6183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children (Licence: IL 125.062259) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2012-11-07 |