Organization
MERCY DUNBAR HEALTH CENTER
Active
Parent organization
MERCY HOSPITAL & MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HOSPITAL & MEDICAL CENTER
Authorized official
MRS. PATRICE KATHLEEN GRIFFIN (DELEGATED OFFICIAL)
(312) 567-5593
Entity
Organization
Contact information
Practice address
3000 S KING DR, CHICAGO, IL 60616-3452
(312) 567-7058
(312) 328-7982
Mailing address
3000 S KING DR, CHICAGO, IL 60616-3452
(312) 567-7058
(312) 328-7982
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
0001578
IL
291U00000X
Clinical Medical Laboratory
771115009
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14D0951881
CLIA
IL
01
—
771115009
DHS
IL
Enumeration date
07/31/2009
Last updated
03/29/2018
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