Organization
GOTTLIEB MEMORIAL HOSPITAL
Active
Parent organization
GOTTLIEB MEMORIAL HOSPITAL
Other names
GOTTLIEB MEMORIAL DIETICIANS
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) 450-5058
Mailing address
701 W NORTH AVE, MELROSE PARK, IL 60160-1612
(708) 681-3200
(708) 450-5058
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1630768
IL
Other
Enumeration date
08/16/2006
Last updated
10/19/2011
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