# ST JAMES HOSPITAL AND CLINICS

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

## Provider details

- **NPI number:** 1063828481
- **Authorized official:** RYAN WAGNER D.O. (RESIDENT)
- **Authorized official phone:** (920) 585-2839

## Contact information

- **Practice address:** 20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461-1010
- **Practice address phone:** (708) 747-4000
- **Mailing address:** 474 N LAKE SHORE DR, APT. 4106, CHICAGO, IL 60611-3400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 125.064852 | IL | Yes |

## Other

- **Enumeration date:** 07/07/2014
- **Last updated:** 10/14/2015