# GOTTLIEB MEMORIAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GOTTLIEB MEMORIAL HOSPITAL
- **Other names:** Gottlieb Home Health Services
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1518070499
- **Legal business name:** GOTTLIEB MEMORIAL HOSPITAL
- **Authorized official:** MR. AJAY S. SIAL (TREASURER)
- **Authorized official phone:** (708) 216-4252

## Contact information

- **Practice address:** 905 WEST NORTH AVENUE, MELROSE PARK, IL 60160-1602
- **Practice address phone:** (708) 216-4983
- **Practice address fax:** (708) 216-0808
- **Mailing address:** 701 WEST NORTH AVENUE, MELROSE PARK, IL 60160-1602
- **Mailing address phone:** (708) 681-3200
- **Mailing address fax:** (708) 450-5058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 0005561 | IL | Yes |

## Other

- **Enumeration date:** 08/16/2006
- **Last updated:** 04/29/2014