| NPI | 1992758544 |
|---|---|
| Doing Business As | LCMG |
| Entity Type | Organization |
| Authorized Contact | CHERYL WITHERS Dir Credentialing & Enrollment 312-227-6415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207ZP0213X Pathology, Pediatric Pathology |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 2085N0700X Radiology, Neuroradiology | |
| 2085P0229X Radiology, Pediatric Radiology | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2022-08-24 |