Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LITTLE COMPANY OF MARY HOSPITAL INC
Active
Organization
LITTLE COMPANY OF MARY HOSPITAL INC
Active
Other names
LCMH MOBILE MEDICAL PROGRAM
Organization subpart
No
Provider details
NPI number
Authorized official
MARY FREYER (CHIEF OPERATING OFFICER)
(708) 229-5004
Entity
Organization
Contact information
Practice address
9800 SOUTHWEST HWY, OAK LAWN, IL 60453-3617
(708) 229-4663
(708) 499-5975
Mailing address
9800 SOUTHWEST HWY, OAK LAWN, IL 60453-3617
(708) 229-4663
(708) 499-5975
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0161859661
BCBS OF IL
IL
01
—
CC0511
RR MEDICARE
IL
Enumeration date
02/14/2007
Last updated
03/16/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up