Organization
GOTTLIEB MEMORIAL HOSPITAL
Active
Parent organization
GOTTLIEB MEMORIAL HOSPITAL
Other names
Gottlieb Professional Building Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOTTLIEB MEMORIAL HOSPITAL
Authorized official
MS. ADENRELE ADEKUNBI KOLAWOLE (DIRECTOR BILLING OPERATIONS)
(708) 216-3743
Entity
Organization
Contact information
Practice address
675 W NORTH AVE, MELROSE PARK, IL 60160-1634
(708) 450-4941
(708) 681-4673
Mailing address
701 W NORTH AVE, MELROSE PARK, IL 60160-1612
(708) 450-4941
(708) 681-4673
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
054008713
IL
Other
Enumeration date
12/27/2005
Last updated
11/16/2020
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