Organization
ST JAMES HOSPITAL US CATHOLIC CONFERENCE
Active
Other names
ST JAMES PSYCHOLOGICAL WELLNESS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANNA MARIE BASS (ACCOUNT REPRESENTATIVE)
(708) 755-3348
Entity
Organization
Contact information
Practice address
1423 CHICAGO RD, CHICAGO HEIGHTS, IL 60411-3400
(708) 755-3348
(708) 755-3393
Mailing address
30 E 15TH ST STE 406, CHICAGO HEIGHTS, IL 60411-3459
(708) 755-3348
(708) 755-3393
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
1744997
IL
Other
Enumeration date
02/01/2010
Last updated
05/20/2010
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