Organization
MERCY HOSPITAL D&T CLINIC
Active
Parent organization
MERCY HOSPITAL & MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HOSPITAL & MEDICAL CENTER
Authorized official
MS. PAULA SCHIPIOUR (DIRECTOR)
(312) 567-5578
Entity
Organization
Contact information
Practice address
2525 S MICHIGAN AVE, 1ST FLR., CHICAGO, IL 60616-2333
(312) 567-2128
(312) 328-7702
Mailing address
2525 S MICHIGAN AVE, 1ST FLR., CHICAGO, IL 60616-2333
(312) 567-2128
(312) 328-7702
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
001
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621679
BCBSIL
IL
01
—
3720708
FQHC SITE
IL
Enumeration date
06/10/2006
Last updated
07/21/2022
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