Organization
GOTTLIEB MEMORIAL HOSPITAL
Active
Parent organization
GOTTLIEB MEMORIAL HOSPITAL
Other names
GOTTLIEB MEMORIAL HOSPITAL TCU
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOTTLIEB MEMORIAL HOSPITAL
Authorized official
MRS. ELIZABETH EARLY (PRESIDENT)
(708) 538-6920
Entity
Organization
Contact information
Practice address
701 W NORTH AVE, MELROSE PARK, IL 60160-1612
(708) 681-3200
(708) 450-5058
Mailing address
701 W NORTH AVE, MELROSE PARK, IL 60160-1612
(708) 681-3200
(708) 450-5058
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
0005561
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0741
BLUE CROSS
IL
Enumeration date
08/16/2006
Last updated
06/02/2025
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