Basic Information
| Provider Information | |||||||||
| NPI: | 1073622254 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ROSALIND FRANKLIN UNIVERSITY OF MEDICINE AND SCIENCE | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 609 | ||||||||
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| City: | NORTH CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600640609 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 3333 GREEN BAY RD | ||||||||
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| City: | NORTH CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600643037 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8475783000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/30/2006 | ||||||||
| LastUpdateDate: | 04/27/2011 | ||||||||
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| AuthorizedOfficialLastName: | ALLEN | ||||||||
| AuthorizedOfficialFirstName: | SARAH | ||||||||
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| AuthorizedOfficialTitleorPosition: | VP | ||||||||
| AuthorizedOfficialTelephone: | 8475788773 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 291U00000X | Y | Laboratories | Clinical Medical Laboratory |
No ID Information.