| NPI | 1770744799 |
|---|---|
| Doing Business As | CHILDREN'S HOSPITAL OF ILLINOIS MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SISTER DIANE MARIE MCGREW President/Treasurer 309-655-2850 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2014-11-14 |