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Organization

PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK

Active
Parent organization
PRESENCE CENTRAL & SUBURBAN HOSPITALS NETWORK
Other names
Presence St. Joseph Medical Center - Psychiatric Unit
Organization subpart
Yes

Provider details

NPI number
Legal business name
PRESENCE CENTRAL & SUBURBAN HOSPITALS NETWORK
Authorized official
RICHARD DOUGLAS CARTER (AMITA CFO)
(224) 273-2350
Entity
Organization

Contact information

Practice address
333 MADISON ST, JOLIET, IL 60435-8200
(815) 725-7133
Mailing address
333 MADISON ST, JOLIET, IL 60435-8200
(815) 725-7133
(815) 741-7579

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
0004838
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14-0007
MEDICARE
Enumeration date
12/11/2006
Last updated
12/28/2021
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