Childrens Memorial Hospital

Primary specialty

Children's HospitalTaxonomy code 282NC2000X

License

147.000686 Issued in IL

Legal business name

CHILDRENS MEMORIAL HOSPITAL

Practice address

2731 Harrison St
Evanston, IL 60201-1215

Phone

(847) 425-9404

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy G Otwell, MSCCA

Title

Senior Pediatric Audiologist

Phone

(773) 975-8650

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1619021359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 N CHILDRENS PLZ",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143363",
            "telephone_number": "773-880-4530",
            "fax_number": "773-880-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2731 HARRISON ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011215",
            "telephone_number": "847-425-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "OTWELL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "SENIOR PEDIATRIC AUDIOLOGIST",
        "authorized_official_telephone_number": "773-975-8650",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSCCA"
    },
    "taxonomies": [
        {
            "code": "282NC2000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Children",
            "state": "IL",
            "license": "147.000686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chicago North Shore Therapy
• Chicago Psych Therapy Group, Inc. (Gulf Coast Psych Therapy Group)
• Children's Home & Aid Society of America
• Children's Physician Group
• Children's Wellness Services, PLLC
• Henry Chill
• Delaney Glenn Chimienti, LCPC
• Celina Chiodo
• Chiro One Wellness Center of Evanston SC
• Chiropractic Health Management, LLC

• Children's Hospital in Evanston, IL
• Providers in Evanston, IL by specialty
• Children's Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.