Organization
SAINT ANTHONY HEALTH AFFILIATES
Active
Parent organization
SAINT ANTHONY HOSPITAL
Other names
Little Village Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT ANTHONY HOSPITAL
Authorized official
DENNIS O ANOSIKE (CFO)
(773) 484-1000
Entity
Organization
Contact information
Practice address
3059 W 26TH ST, CHICAGO, IL 60623-4131
(773) 696-9490
(773) 376-3720
Mailing address
1340 S DAMEN AVE, CHICAGO, IL 60608-1169
(773) 484-1000
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
261Q00000X
Clinic/Center
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
03/03/2015
Last updated
12/04/2024
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