Organization
LORETTO HOSPITAL
Active
Organization
LORETTO HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TESA ANEWISHKI (PRESIDENT/CEO)
(773) 854-5000
Entity
Organization
Contact information
Practice address
645 S CENTRAL AVE, CHICAGO, IL 60644-5059
(773) 854-5066
Mailing address
645 S CENTRAL AVE, CHICAGO, IL 60644-5059
(773) 854-5097
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/03/2016
Last updated
05/24/2023
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