Organization
LITTLE COMPANY OF MARY HOSPITAL INC
Active
Other names
LCMH Advanced Practice Nurses
Organization subpart
No
Provider details
NPI number
Authorized official
MARY H FREYER (CHIEF OPERATING OFFICER)
(708) 229-5004
Entity
Organization
Contact information
Practice address
2800 W 95TH ST, EVERGREEN PARK, IL 60805-2701
(708) 229-4278
(708) 499-8510
Mailing address
2800 W 95TH ST, EVERGREEN PARK, IL 60805-2701
(708) 229-4278
(708) 229-4209
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/08/2013
Last updated
09/12/2013
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