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Organization
ST JAMES HOSPITAL US CATHOLIC CONFERENCE
Active
Organization
ST JAMES HOSPITAL US CATHOLIC CONFERENCE
Active
Other names
ST JAMES PODIATRY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANNA MARIE BASS (ACCOUNT RESPRESENTATIVE)
(708) 755-3348
Entity
Organization
Contact information
Practice address
20201 CRAWFORD AVE, SUITE 1403, OLYMPIA FIELDS, IL 60461-1010
(708) 755-3348
(708) 679-2260
Mailing address
30 E 15TH ST, SUITE 406, CHICAGO HEIGHTS, IL 60411-3459
(708) 755-3348
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004111
IL
Other
Enumeration date
07/26/2010
Last updated
12/02/2010
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