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Organization
MERCY PHILLIPS HEALTH CENTER
Active
Organization
MERCY PHILLIPS HEALTH CENTER
Active
Parent organization
MERCY HOSPITAL & MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HOSPITAL & MEDICAL CENTER
Authorized official
MRS. PATRICE KATHLEEN GRIFFIN (DELEGATED OFFICIAL)
(312) 567-5593
Entity
Organization
Contact information
Practice address
244 E PERSHING RD, CHICAGO, IL 60653-2222
(312) 567-7058
(312) 328-7982
Mailing address
244 E PERSHING RD, CHICAGO, IL 60653-2222
(312) 567-7058
(312) 328-7982
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
0001578
IL
291U00000X
Clinical Medical Laboratory
771115016
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14D1036279
CLIA
IL
01
—
771115016
DHS
IL
Enumeration date
07/31/2009
Last updated
07/13/2017
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