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Organization

PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK

Active
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Organization

PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK

Active
Parent organization
PRESENCE CHICAGO HOSPITALS NETWORK
Other names
AMITA Saint Joseph Hospital, Elgin Diabetic Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
PRESENCE CHICAGO HOSPITALS NETWORK
Authorized official
MARY JO MACKNISKAS (SR. DIRECTOR, NET REVENUE & REIMB)
(773) 213-0776
Entity
Organization

Contact information

Practice address
77 N AIRLITE STREET, DIABETES SERVICES, ELGIN, IL 60123-4912
(847) 695-3200
(847) 931-5742
Mailing address
77 N AIRLITE STREET, DIABETES SERVICES, ELGIN, IL 60123-4912
(847) 695-3200
(847) 931-5742

Taxonomy

Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary

Other

Enumeration date
11/01/2021
Last updated
02/10/2022
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