Organization
MERIT LINCOLN PARK LLC
Active
Other names
Lincoln Park Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN B ANSORGE (CFO)
(773) 883-3809
Entity
Organization
Contact information
Practice address
550 W WEBSTER AVE, CHICAGO, IL 60614-3965
(773) 883-3800
(773) 883-5168
Mailing address
550 W WEBSTER AVE, CHICAGO, IL 60614-3965
(773) 883-3800
(773) 883-5168
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
0005256
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
241307
HARMONY HEALTHCARE
IL
01
—
50119
BX PROVIDER NUMBER
IL
Enumeration date
08/19/2006
Last updated
08/22/2020
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