Organization
ST JAMES HOSPITAL US CATHOLIC CONFERENCE
Active
Other names
ST JAMES PODIATRY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANNA MARIE BASS (ACCOUNT RESPRESENTATIVE)
(708) 755-3348
Entity
Organization
Contact information
Practice address
20201 CRAWFORD AVE, SUITE 1403, OLYMPIA FIELDS, IL 60461-1010
(708) 755-3348
(708) 679-2260
Mailing address
30 E 15TH ST, SUITE 406, CHICAGO HEIGHTS, IL 60411-3459
(708) 755-3348
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016004111
IL
Other
Enumeration date
07/26/2010
Last updated
12/02/2010
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