Organization
SAINT ELIZABETH HOSPITAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH MA (DIRECTOR, PHARMACY)
(312) 633-5936
Entity
Organization
Contact information
Practice address
1431 N CLAREMONT AVE, CHICAGO, IL 60622-1702
(312) 633-5946
Mailing address
1431 N CLAREMONT AVE, CHICAGO, IL 60622-1702
(312) 633-5946
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
059013460
IL
Other
Enumeration date
12/12/2006
Last updated
06/20/2008
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