| NPI | 1265776793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK SULLIVAN Director 224-610-4176 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 286500000X Military Hospital (Licence: IL 056.005664) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: PA OC003528L) |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2012-11-21 |