# ST MARY'S HOSPITAL

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

## Provider details

- **NPI number:** 1972872992
- **Authorized official:** MR. MARTIN SAUCEDO MA (ER CRISIS COORDINATOR)
- **Authorized official phone:** (312) 770-3501

## Contact information

- **Practice address:** 2233 W DIVISION, CHICAGO, IL 60622
- **Practice address phone:** (312) 770-3501
- **Mailing address:** 3220 N KILDARE, CHGO, IL 60641
- **Mailing address phone:** (773) 908-2242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | Yes |

## Other

- **Enumeration date:** 12/20/2011
- **Last updated:** 12/20/2011
