| Presence Saints Mary And Elizabeth Medical Center | |
|
2233 West Division St Chicago IL 60622-3043 | |
| (312) 770-2050 | |
| (630) 914-2499 |
| Full Name | Presence Saints Mary And Elizabeth Medical Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2233 West Division St, Chicago, Illinois |
| Authorized Official Name and Position | Melvonne Wickliffe-jones (CREDENTIALING MGR) |
| Authorized Official Contact | 6309142417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Presence Saints Mary And Elizabeth Medical Center 1000 Remington Boulevard Suite 100 Bolingbrook IL 60440-0000 Ph: (630) 914-2417 | Presence Saints Mary And Elizabeth Medical Center 2233 West Division St Chicago IL 60622-3043 Ph: (312) 770-2050 |
| NPI Number | 1548471535 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 03/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548471535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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