| Pipeline-westlake Hospital, Llc | |
| 
					1225 W Lake St Melrose Park IL 60160-4039  | |
| (708) 681-3100 | |
| Not Available | 
| Full Name | Pipeline-westlake Hospital, Llc | 
|---|---|
| Speciality | Psychiatric Unit | 
| Location | 1225 W Lake St, Melrose Park, Illinois | 
| Authorized Official Name and Position | James Edwards (CEO) | 
| Authorized Official Contact | 5704368540 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Pipeline-westlake Hospital, Llc 1225 W Lake St Melrose Park IL 60160-4039 Ph: (708) 681-3100  | Pipeline-westlake Hospital, Llc 1225 W Lake St Melrose Park IL 60160-4039 Ph: (708) 681-3100  | 
| NPI Number | 1780150714 | 
|---|---|
| Provider Enumeration Date | 10/17/2018 | 
| Last Update Date | 10/17/2018 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1780150714 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary | 
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Proviso Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1225 W Lake St, Melrose Park, IL 60160 Phone: 708-681-2324 Fax: 708-345-5496  | |
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