# SAINT MARY OF NAZARETH HOSPITAL - CHICAGO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Prime Healthcare Rx 1001
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841305877
- **Authorized official:** CHRISTOPHER DOAN (MANAGING ASSOCIATE GENERAL COUNSEL)
- **Authorized official phone:** (909) 235-4307

## Contact information

- **Practice address:** 2233 W DIVISION ST, CHICAGO, IL 60622-8151
- **Practice address phone:** (312) 770-3444
- **Practice address fax:** (312) 770-3541
- **Mailing address:** 2233 W DIVISION ST, CHICAGO, IL 60622-8151
- **Mailing address phone:** (312) 770-3444
- **Mailing address fax:** (312) 770-3541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | 054.019887 | IL | Yes |

## Other

- **Enumeration date:** 08/20/2006
- **Last updated:** 04/16/2025