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Organization

HOLY CROSS HOSPITAL

Active
Parent organization
HOLY CROSS HOSPITAL
Other names
Holy Cross Hospital Anesthesia
Organization subpart
Yes

Provider details

NPI number
Legal business name
HOLY CROSS HOSPITAL
Authorized official
MR. GARY ZMRHAL (CFO)
(773) 884-1639
Entity
Organization

Contact information

Practice address
2701 W 68TH ST, CHICAGO, IL 60629-1813
(773) 884-1639
Mailing address
2701 W 68TH ST, CHICAGO, IL 60629-1813
(773) 884-1639

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1638369
BCBS
IL
01
DG7250
RAILROAD PIN
IL
Enumeration date
04/30/2008
Last updated
05/27/2008
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