# ST MARY AND ELIZABETH MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720338981
- **Authorized official:** MR. MARTIN SAUCEDO MA-QMHP (ER. CRISIS WORKER COORDINATOR)
- **Authorized official phone:** (312) 770-3501

## Contact information

- **Practice address:** 3220 N KILDARE AVE, CHICAGO, IL 60641-4531
- **Practice address phone:** (773) 908-2242
- **Mailing address:** 2233 W DIVISION, CHICAGO, IL 60622-4531
- **Mailing address phone:** (312) 770-3501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 362171079 | IL | — |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 09/14/2012
- **Last updated:** 09/14/2012