MERCY HOSPITAL & MEDICAL CENTER DASA NPI 1356517544

NPI Information

NPI: 1356517544
Provider Name: MERCY HOSPITAL & MEDICAL CENTER DASA
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
2525 S MICHIGAN AVE
B-522
CHICAGO, IL
ZIP 60616
Phone: (312) 567-6691
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MERCY HOSPITAL & MEDICAL CENTER DASA is a rehabilitation and substance use disorder clinic center in Chicago, IL. MERCY HOSPITAL & MEDICAL CENTER DASA NPI is 1356517544. The provider is registered as an organization entity type.

The provider's business location address is:

2525 S MICHIGAN AVE
B-522
CHICAGO, IL
ZIP 60616-333
Phone: (312) 567-6691
Fax: (312) 567-6156

The provider's authorized official is Thomas J Garvey .
The authorized official title is Vp Finance Cfo and has the following contact phone number (312) 567-2000.

The enumeration date for this NPI number is 5/7/2008 and was last updated on 5/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	=========007	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	14-0158	OTHER	ILLINOIS	MEDICARE BL'G
2	35	OTHER	ILLINOIS	BCBSIL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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