Organization
ROSELAND COMMUNITY HOSPITAL ASSOCIATION
Active
Other names
Roseland Community Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIM EGAN (CEO)
(773) 995-3000
Entity
Organization
Contact information
Practice address
45 W 111TH ST, CHICAGO, IL 60628-4200
(773) 995-3000
(773) 995-6602
Mailing address
45 W 111TH ST, CHICAGO, IL 60628-4200
(773) 995-3000
(773) 995-6602
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
273R00000X
Psychiatric Hospital Unit
0002063
IL
282N00000X
General Acute Care Hospital
Primary
0002063
IL
283Q00000X
Psychiatric Hospital
0002063
IL
332B00000X
Durable Medical Equipment & Medical Supplies
0002063
IL
Other
Enumeration date
08/09/2006
Last updated
11/27/2023
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