NPI | 1447418017 |
---|---|
Former Legal Business Name | ST BERNARD HOSPITAL |
Entity Type | Organization |
Authorized Contact | PRATHIBHA V THARIMALA Pediatrician 773-667-4631 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: IL 036048048) |
Enumeration Date | 2008-05-29 |
Last Update Date | 2008-05-29 |