Organization
SAINT ANTHONY HOSPITAL
Active
Organization
SAINT ANTHONY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS O ANOSIKE (CFO)
(773) 484-1000
Entity
Organization
Contact information
Practice address
4177 S ARCHER AVE, CHICAGO, IL 60632-1849
(773) 254-2222
Mailing address
1340 S DAMEN AVE, CHICAGO, IL 60608-1169
(773) 484-1000
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/20/2024
Last updated
12/04/2024
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