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SAINT MARY SAINT ELIZABETH MEDICAL CENTER NPI 1457802365


NPI Information

NPI: 1457802365
Provider Name: SAINT MARY SAINT ELIZABETH MEDICAL CENTER
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1127 N OAKLEY BLVD
3RD FL, NFC BUIDLING
CHICAGO, IL
ZIP 60622
Phone: (312) 770-2317
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SAINT MARY SAINT ELIZABETH MEDICAL CENTER is a mental health (including community mental health center) clinic center in Chicago, IL. SAINT MARY SAINT ELIZABETH MEDICAL CENTER NPI is 1457802365. The provider is registered as an organization entity type.

The provider's business location address is:

1127 N OAKLEY BLVD
3RD FL, NFC BUIDLING
CHICAGO, IL
ZIP 60622-507
Phone: (312) 770-2317
Fax: (312) 770-2557

The provider's authorized official is Frank Perham .
The authorized official title is Vice President and has the following contact phone number (708) 338-3806.

The enumeration date for this NPI number is 10/17/2016 and was last updated on 10/17/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)=========ILLINOISYes

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

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