# MEMORIAL HOSPITAL

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

## Provider details

- **NPI number:** 1922568823
- **Authorized official:** DR. CAITLIN CASEY DO (RESIDENT PHYSICIAN)
- **Authorized official phone:** (423) 488-5309

## Contact information

- **Practice address:** 714 N MICHIGAN ST, SOUTH BEND, IN 46601-1035
- **Practice address phone:** (423) 488-5309
- **Mailing address:** 17253 LAKEBROOK DR, ORLAND PARK, IL 60467-6088
- **Mailing address phone:** (423) 488-5309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/25/2019
- **Last updated:** 03/25/2019