Organization
SAINT JOSEPH HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD ALWAKKAF (MD)
(773) 715-1934
Entity
Organization
Contact information
Practice address
2900 N. LAKESHORE, CHICAGO, IL 60614
(773) 665-3000
Mailing address
2828 N CAMBRIDGE AVE APT 406, CHICAGO, IL 60657-6051
(773) 715-1934
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
125058676
IL
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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