| Gottlieb Memorial Hospital | |
|
701 W North Ave Melrose Park IL 60160-1612 | |
| (708) 681-3200 | |
| (708) 681-9643 |
| Full Name | Gottlieb Memorial Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 701 W North Ave, Melrose Park, Illinois |
| Authorized Official Name and Position | Ellyn Chin (VICE PRESIDENT OF FINANCE) |
| Authorized Official Contact | 7086813200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gottlieb Memorial Hospital 701 W North Ave Melrose Park IL 60160-1612 Ph: (708) 681-3200 | Gottlieb Memorial Hospital 701 W North Ave Melrose Park IL 60160-1612 Ph: (708) 681-3200 |
| NPI Number | 1639271794 |
|---|---|
| Provider Enumeration Date | 09/01/2006 |
| Last Update Date | 09/15/2009 |
| Medicare PECOS PAC ID | 9234156233 |
|---|---|
| Medicare Enrollment ID | O20080627000318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639271794 | NPI | - | NPPES |
| 0005561 | Other | IL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 0005561 (Illinois) | Primary |
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