Organization
METROSOUTH MEDICAL CENTER
Active
Other names
hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY WARD BSN (MANAGER 5S)
(708) 597-2000
Entity
Organization
Contact information
Practice address
12935 GREGORY ST, BLUE ISLAND, IL 60406-2428
(708) 597-2000
Mailing address
12935 GREGORY ST, BLUE ISLAND, IL 60406-2428
(708) 597-2000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
041144975
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041144975
ILL. DEPT OF PROFESSIONAL REGULATION REG PROF NURSE
IL
Enumeration date
02/04/2010
Last updated
02/04/2010
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