Organization
ST JOSEPH HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NKEM IROEGBU M.D. (PROGRAM DIRECTOR)
(773) 665-3000
Entity
Organization
Contact information
Practice address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(773) 665-3000
Mailing address
2900 N LAKE SHORE DR, CHICAGO, IL 60657-5640
(773) 665-3000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
125059045
IL
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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