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Organization

ST. JAMES HOSPITAL UNITED STATES CATHOLIC CONFERENCE

Active
Other names
St. James Hospital and Health Centers
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TONY BANDA (VP, FINANCE)
(708) 756-1000
Entity
Organization

Contact information

Practice address
19110 DAVIN DRIVE, SUITE B, MOKENA, IL 60448
(708) 756-1000
(708) 755-3392
Mailing address
1423 CHICAGO RD, CHICAGO HEIGHTS, IL 60411-3400
(708) 756-1000
(708) 755-3392

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1744997
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
140172
MEDICARE PROVIDER NUMBER
IL
Enumeration date
08/18/2008
Last updated
08/18/2008
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