Organization
ST JOSEPH HOSPITAL
Active
Parent organization
363200170
Organization subpart
Yes
Provider details
NPI number
Legal business name
363200170
Authorized official
DINAH LOA MD (RESIDENT PHYSICIAN)
(773) 318-8702
Entity
Organization
Contact information
Practice address
2756 N PINE GROVE AVE, UNIT 308, CHICAGO, IL 60614-6138
(773) 857-5107
Mailing address
2756 N PINE GROVE AVE, UNIT 308, CHICAGO, IL 60614
(773) 857-5107
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
125059045
IL
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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