# METROSOUTH MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316279003
- **Authorized official:** MS. KIMBERLY WARD BSN (MANAGER 5S)
- **Authorized official phone:** (708) 597-2000

## Contact information

- **Practice address:** 12935 GREGORY ST, BLUE ISLAND, IL 60406-2428
- **Practice address phone:** (708) 597-2000
- **Mailing address:** 12935 GREGORY ST, BLUE ISLAND, IL 60406-2428
- **Mailing address phone:** (708) 597-2000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 041144975 | IL | Yes |

## Other

- **Enumeration date:** 02/04/2010
- **Last updated:** 02/04/2010