Organization
ELMHURST MEMORIAL HOSPITAL
Active
Other names
ELMHURST MEMORIAL CNT FOR HEALTH PHCY
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG PETERSON (MANAGER)
(630) 833-1400
Entity
Organization
Contact information
Practice address
1200 S YORK RD, ELMHURST, IL 60126-5626
(630) 758-8016
(630) 758-8394
Mailing address
1200 S YORK RD, ELMHURST, IL 60126-5626
(630) 758-8016
(630) 758-8394
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
054017219
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1470791
OTHER ID NUMBER
—
Enumeration date
08/20/2006
Last updated
08/17/2010
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