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Organization
ST. BERNARD HOSPITAL
Active
Organization
ST. BERNARD HOSPITAL
Active
Parent organization
ST. BERNARD HOSPITAL
Other names
ST. BERNARD HOSPITAL DENTAL SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. BERNARD HOSPITAL
Authorized official
MR. GUY RICHARD ALTON (CHIEF FINANCIAL OFFICER)
(773) 962-4073
Entity
Organization
Contact information
Practice address
326 W 64TH ST, SUITE 200, CHICAGO, IL 60621-3114
(773) 962-4073
(773) 962-9276
Mailing address
326 W 64TH ST, SUITE 200, CHICAGO, IL 60621-3114
(773) 962-4073
(773) 962-9276
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0002303
IL
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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