Organization
ST JAMES HOSPITAL AND HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS SENESAC (CEO OF ST JAMES HOSPITAL AND HEALTH)
(708) 756-1000
Entity
Organization
Contact information
Practice address
20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461-1010
(708) 747-4000
Mailing address
30 E 15TH ST, SUITE 406, CHICAGO HEIGHTS, IL 60411-3459
(708) 756-3350
(708) 755-3393
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623527
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/17/2006
Last updated
08/22/2020
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