Organization
EDWARD J. HINES HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LOLITA DRUMMOND MSW, LSW, CADC (SOCIAL WORKER)
(708) 202-4434
Entity
Organization
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-4434
(708) 202-4954
Mailing address
5650 N SHERIDAN RD, APT 22C, CHICAGO, IL 60660-4879
(773) 878-8729
(708) 202-4954
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
150004789
IL
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
24038
IL
Other
Enumeration date
04/17/2009
Last updated
04/17/2009
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