Organization
PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK
Active
Other names
Presence St. Joseph Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD DOUGLAS CARTER (AMITA CFO)
(224) 273-2350
Entity
Organization
Contact information
Practice address
333 MADISON ST, JOLIET, IL 60435-8200
(815) 725-7133
(815) 741-7579
Mailing address
333 MADISON ST, JOLIET, IL 60435-8200
(815) 725-7133
(815) 741-7579
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0004838
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56
BLUE CROSS BLUE SHIELD
IL
Enumeration date
12/12/2006
Last updated
12/29/2021
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