Organization
GOTTLIEB MEMORIAL HOSPITAL
Active
Parent organization
GOTTLIEB MEMORIAL HOSPITAL
Other names
GOTTLIEB MEMORIAL HOSPITAL GERIATRIC PSYCHIATRIC UNIT
Organization subpart
Yes
Provider details
NPI number
Legal business name
GOTTLIEB MEMORIAL HOSPITAL
Authorized official
MS. ELLYN CHIN (VICE PRESIDENT OF FINANCE)
(708) 681-3200
Entity
Organization
Contact information
Practice address
701 W NORTH AVE, MELROSE PARK, IL 60160-1612
(708) 681-3200
(708) 681-9643
Mailing address
701 W NORTH AVE, MELROSE PARK, IL 60160-1612
(708) 681-3200
(708) 681-9643
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
0005561
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005561
STATE LICENSE
IL
Enumeration date
09/01/2006
Last updated
09/15/2009
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