Provider Demographics
NPI:1346584133
Name:NORWEIGAN AMERICAN HOSPITAL
Entity Type:Organization
Organization Name:NORWEIGAN AMERICAN HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LACATATION CONSULTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGRON-PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN, IBCLC-RLC
Authorized Official - Phone:773-292-8228
Mailing Address - Street 1:1044 N FRANCISCO AVENUE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622
Mailing Address - Country:US
Mailing Address - Phone:773-292-8228
Mailing Address - Fax:773-292-8389
Practice Address - Street 1:1044 N FRANCISCO AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-2743
Practice Address - Country:US
Practice Address - Phone:773-292-8228
Practice Address - Fax:773-292-8389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-16
Last Update Date:2012-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041305058282NW0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NW0100XHospitalsGeneral Acute Care HospitalWomen