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Organization

ST ANTHONY EMERGENCY SERVICES PHYSICIAN GROUP

Active
Parent organization
SAINT ANTHONY HOSPITAL
Other names
St Anthony Emergency Services Physician Group
Organization subpart
Yes

Provider details

NPI number
Legal business name
SAINT ANTHONY HOSPITAL
Authorized official
GUY A MEDAGLIA (PRESIDENT/CEO, AUTHORIZED OFFICIAL)
(773) 484-1000
Entity
Organization

Contact information

Practice address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 484-4783
Mailing address
2001 S CALIFORNIA AVE, CHICAGO, IL 60608-2486
(773) 484-4783

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary

Other

Enumeration date
09/14/2006
Last updated
05/14/2024
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