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Organization
THE PALOS HILLS MEDICAL CENTER, S.C.
Active
Organization
THE PALOS HILLS MEDICAL CENTER, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM GEORGE REVETHIS M.D. (OWNER/OFFICER)
(708) 599-3100
Entity
Organization
Contact information
Practice address
10400 S ROBERTS RD, PALOS HILLS, IL 60465-1972
(708) 599-3100
(708) 599-3143
Mailing address
10400 S ROBERTS RD, PALOS HILLS, IL 60465-1972
(708) 599-3100
(708) 599-3143
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1617966
BCBS
IL
01
—
CB1569
RAILROAD MEDICARE
IL
Enumeration date
01/09/2008
Last updated
02/14/2008
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