Organization
WESTSIDE COMMUNITY HOSPITAL
Active
Other names
SACRED HEART HOSPITAL
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD LORGEREE (MANAGER)
(773) 722-3020
Entity
Organization
Contact information
Practice address
3240 W FRANKLIN BLVD, CHICAGO, IL 60624-1511
(773) 722-3020
Mailing address
3240 W FRANKLIN BLVD, CHICAGO, IL 60624-1511
(773) 722-3020
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619187
BLUE SHIELD ILLINOIS
IL
01
—
DA0424
PALMETTO GBA
IL
Enumeration date
08/17/2006
Last updated
07/25/2008
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