| NPI | 1962719930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUJA MATHEW Program Director 312-864-7229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: IL 125057324) |
| Enumeration Date | 2010-09-11 |
| Last Update Date | 2010-09-11 |