# ROSELAND COMMUNITY HOSPITAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Roseland Community Hospital
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568472819
- **Authorized official:** MR. TIM EGAN (CEO)
- **Authorized official phone:** (773) 995-3000

## Contact information

- **Practice address:** 45 W 111TH ST, CHICAGO, IL 60628-4200
- **Practice address phone:** (773) 995-3000
- **Practice address fax:** (773) 995-6602
- **Mailing address:** 45 W 111TH ST, CHICAGO, IL 60628-4200
- **Mailing address phone:** (773) 995-3000
- **Mailing address fax:** (773) 995-6602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | — |
| 273R00000X | Psychiatric Hospital Unit | 0002063 | IL | — |
| 282N00000X | General Acute Care Hospital | 0002063 | IL | Yes |
| 283Q00000X | Psychiatric Hospital | 0002063 | IL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0002063 | IL | — |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 11/27/2023