| St James Hospital United States Catholic Conference | |
|
30 E 15th St Suite # 308 Chicago Heights IL 60411-3459 | |
| (708) 755-9355 | |
| (708) 755-7851 |
| Full Name | St James Hospital United States Catholic Conference |
|---|---|
| Speciality | Internal Medicine |
| Location | 30 E 15th St, Chicago Heights, Illinois |
| Authorized Official Name and Position | Thomas Senesac (TREASURER) |
| Authorized Official Contact | 7087561000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St James Hospital United States Catholic Conference 1040 Sierra Dr Suite 400 Greenwood IN 46143-7240 Ph: (317) 528-4250 | St James Hospital United States Catholic Conference 30 E 15th St Suite # 308 Chicago Heights IL 60411-3459 Ph: (708) 755-9355 |
| NPI Number | 1457629966 |
|---|---|
| Provider Enumeration Date | 12/12/2011 |
| Last Update Date | 12/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457629966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036127750 (Illinois) | Primary |
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