Organization
GOTTLIEB MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH EARLY (PRESIDENT)
(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
282N00000X
General Acute Care Hospital
Primary
0005561
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0341
BLUE CROSS
IL
Enumeration date
11/11/2005
Last updated
06/02/2025
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