Organization
MERCY HOSPITAL & MEDICAL CENTER DASA
Active
Parent organization
MERCY HOSPITAL & MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HOSPITAL & MEDICAL CENTER
Authorized official
THOMAS J GARVEY (VP FINANCE CFO)
(312) 567-2000
Entity
Organization
Contact information
Practice address
2525 S MICHIGAN AVE, B-522, CHICAGO, IL 60616-2333
(312) 567-6691
(312) 567-6156
Mailing address
2525 S MICHIGAN AVE, B-522, CHICAGO, IL 60616-2333
(312) 567-6691
(312) 567-6156
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
007
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-0158
MEDICARE BL'G
IL
01
—
35
BCBSIL
IL
Enumeration date
05/07/2008
Last updated
07/21/2022
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