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Organization
HOLY CROSS HOSPITAL
Active
Organization
HOLY CROSS HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN C TEITELBAUM (EXECUTIVE VICE PRESIDENT/COO)
(773) 257-5332
Entity
Organization
Contact information
Practice address
2701 W 68TH ST, CHICAGO, IL 60629-1813
(773) 257-6672
(773) 257-5330
Mailing address
2701 W 68TH ST, CHICAGO, IL 60629-1813
(773) 884-1604
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
0001644
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639470867
—
IL
05
—
1871581314
—
IL
05
—
1932496114
—
IL
Enumeration date
10/22/2014
Last updated
10/22/2014
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