Organization
HINES VA HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ANTHONY BARTHWELL MD (MEDICAL DIRECTOR)
(708) 202-8387
Entity
Organization
Contact information
Practice address
14643 KEYSTONE AVE, MIDLOTHIAN, IL 60445-2746
(708) 202-8387
Mailing address
14643 S KEYSTONE AVE, MIDLOTHIAN, IL 60445-0000
(708) 202-8387
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
M24072052037
IL
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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