NPIMap

Organization Active NPI

Ann & Robert H. Lurie Children'S Hospital of Chicago

  • Audiologist
  • Chicago, IL
National Provider Identifier
1063963635
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147.001607 Issued in IL
Legal business name
ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO
Practice address
225 E Chicago Ave
Chicago, IL 60611-2991
Phone
(312) 227-0480
Fax
(312) 227-9478
NPI assigned
Oct 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Marcos Gustavo Solis Lara
Title
Clincial Office Coordinator- Rehab
Phone
(312) 227-3064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AudiologistGroup: 193400000X SINGLE SPECIALTY GROUP 231H00000X 147.001607 IL Primary

Addresses

Primary practice location

225 E Chicago Ave
Chicago, IL 60611-2991

Mailing address

225 E Chicago Ave
Chicago, IL 60611-2991
Phone (312) 227-0480

National Provider Directory

National Provider Directory
Tax ID family
Ann Robert H Lurie Children'S Hospital of Chicago18 organizations share this tax ID, including this one

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1063963635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112991",
            "telephone_number": "312-227-0480",
            "fax_number": "312-227-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112991",
            "telephone_number": "312-227-0480",
            "fax_number": "312-227-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "SOLIS LARA",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_middle_name": "GUSTAVO",
        "authorized_official_title_or_position": "CLINCIAL OFFICE COORDINATOR- REHAB",
        "authorized_official_telephone_number": "312-227-3064",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147.001607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.