NPI 1063963635 · live from the CMS NPI Registry
Ann & Robert H. Lurie Children'S Hospital Of Chicago
Audiologist in Chicago, IL. National Provider Identifier 1063963635, active.
NPI record
| NPI | 1063963635 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 225 E Chicago Ave, Chicago, IL 60611 |
| Practice phone | 312-227-0480 |
| Enumerated | October 19, 2016 |
| Last updated | October 19, 2016 |
| Authorized official | Marcos Solis Lara, Clincial Office Coordinator- Rehab |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | 147.001607 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.