Organization
LITTLE COMPANY OF MARY HOSPITAL INC
Active
Organization
LITTLE COMPANY OF MARY HOSPITAL INC
Active
Other names
LCMH HOSPITALIST GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
MARY FREYER (CHIEF OPERATING OFFICER)
(708) 229-5004
Entity
Organization
Contact information
Practice address
2800 W 95TH ST, EVERGREEN PARK, IL 60805-2701
(708) 229-5198
(708) 229-4209
Mailing address
2800 W 95TH ST, EVERGREEN PARK, IL 60805-2701
(708) 229-5198
(708) 229-4209
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635196
BCBS
IL
Enumeration date
03/21/2007
Last updated
03/16/2010
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