| NPI | 1790096519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS VICKERS Program Chairman 773-257-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC2000X General Acute Care Hospital, Children (Licence: IL 125057229) |
| Enumeration Date | 2010-06-25 |
| Last Update Date | 2010-06-25 |