Organization
WEISS MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL COPPOLA (VICE PRESIDENT OF PHYSICIAN SERVICE)
(708) 783-0336
Entity
Organization
Contact information
Practice address
9627 S LA SALLE ST, CHICAGO, IL 60628-1329
(773) 548-6197
Mailing address
4646 N MARINE DR, CHICAGO, IL 60640-5759
(773) 564-5933
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
IL
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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