Organization
MCGAW MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE WAYNE M.D. (PROGRAM DIRECTOR)
(312) 695-8630
Entity
Organization
Contact information
Practice address
675 N SAINT CLAIR ST, SUITE 18-200, CHICAGO, IL 60611-5975
(312) 695-8630
Mailing address
675 N SAINT CLAIR ST, SUITE 18-200, CHICAGO, IL 60611-5975
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
AN5240394-9871
IL
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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