Organization
MARYVILLE ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY Z WOULFE (DIRECTOR OF BUSINESS DEVELOPMENT)
(847) 294-1910
Entity
Organization
Contact information
Practice address
6650 W IRVING PARK RD, CHICAGO, IL 60634-2435
(773) 205-3613
(773) 205-3630
Mailing address
1150 N RIVER RD, DES PLAINES, IL 60016-1214
(847) 294-1999
(847) 294-2892
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
—
IL
Other
Enumeration date
05/21/2008
Last updated
07/08/2022
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