# TEAMHEALTH PROVENA MERCY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053665786
- **Authorized official:** MRS. MEGAN AMELIO (ADMINISTRATIVE DIRECTOR)
- **Authorized official phone:** (630) 785-9100

## Contact information

- **Practice address:** 1325 N HIGHLAND AVE, AURORA, IL 60506-1449
- **Practice address phone:** (630) 859-2222
- **Mailing address:** 1 TRANSAM PLAZA DR, SUITE 360, OAKBROOK TERRACE, IL 60181-4822
- **Mailing address phone:** (630) 785-9100
- **Mailing address fax:** (630) 785-9199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 085004497 | IL | Yes |

## Other

- **Enumeration date:** 11/02/2012
- **Last updated:** 11/02/2012