Organization
JACKSON PARK HOSPITAL FOUNDATION
Active
Parent organization
JACKSON PARK HOSPITAL FOUNDATION
Other names
Psychiatric Unit
Organization subpart
Yes
Provider details
NPI number
Legal business name
JACKSON PARK HOSPITAL FOUNDATION
Authorized official
MR. BARRY R MANDELL (VP OF SPECIAL PROJECTS)
(773) 947-7701
Entity
Organization
Contact information
Practice address
7531 S STONY ISLAND AVE, CHICAGO, IL 60649-3954
(773) 947-7500
Mailing address
7531 S STONY ISLAND AVE, CHICAGO, IL 60649-3954
(773) 947-7500
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
0001115
IL
Other
Enumeration date
12/13/2017
Last updated
01/28/2020
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