South Shore Hospital Corporation
South Shore Hospital Corporation provides Registered Dietitian services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2013.
- Licensed in
- IL
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
8012 S Crandon AveChicago, IL 60617-1124 Not confirmed with CMS for 12 years — call before visiting
Phone: (773) 356-5200
Fax: (773) 768-8154
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Nurse (primary) | Taxonomy 163W00000X · Licence 041.147476 (IL) |
|---|---|
| Registered Dietitian | Taxonomy 133V00000X · Licence 164.004009 (IL) |
Record details
| NPI number | 1225479470 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Leslie Rogers — Administrator · (773) 356-5200 |
| Other names | South Shore Hospital |
| NPI enumerated | July 16, 2013 |
| Last updated in NPPES | December 31, 2013 |
| Mailing address | 8012 S Crandon Ave, Chicago, IL 60617-1124 |
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