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Organization

MERCY HOSPITAL AND MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN POTTS D.O (PROGRAM DIRECTOR)
(312) 567-2000
Entity
Organization

Contact information

Practice address
2525 S MICHIGAN AVE, 2-463, CHICAGO, IL 60616-2333
(312) 567-2000
Mailing address
3445 S RHODES AVE, APT 204, CHICAGO, IL 60616-4141
(646) 318-8330

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
125057355
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
125057355
ILLINOIS STATE LICENSURE
IL
Enumeration date
12/27/2010
Last updated
12/27/2010
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