# PALOS COMMUNITY HOSPITAL

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

## Provider details

- **NPI number:** 1851386692
- **Authorized official:** MR. MICHAEL V VIVODA (PRESIDENT)
- **Authorized official phone:** (708) 923-5000

## Contact information

- **Practice address:** 12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1256
- **Practice address phone:** (708) 361-4500
- **Practice address fax:** (708) 923-4000
- **Mailing address:** 12251 S 80TH AVE STE 1630, PALOS HEIGHTS, IL 60463-1290
- **Mailing address phone:** (708) 923-5173
- **Mailing address fax:** (708) 923-5018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273R00000X | Psychiatric Hospital Unit | — | NULL | — |
| 282N00000X | General Acute Care Hospital | 0003210 | IL | Yes |

## Other

- **Enumeration date:** 09/19/2005
- **Last updated:** 04/16/2026