MEDICARE: VHS ACQUISITION SUBSIDIARY NUMBER 3 INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	273Y00000X	Rehabilitation Hospital Unit	0005249	IL

General Provider Information

NPI Number	:	1871572545
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VHS ACQUISITION SUBSIDIARY NUMBER 3 INC

Provider Business Mailing Address
First Line	:	20 BURTON HILLS BLVD
Second Line	:	SUITE 100, ATTENTION, SUSAN VAUGHAN
City	:	NASHVILLE
State	:	TN
Zip	:	37215-6154
Country	:	US
Telephone Number	:	615-665-6000
Fax Number	:	615-665-6184

Provider Business Practice Location Address
First Line	:	4646 N MARINE DR
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-5759
Country	:	US
Telephone Number	:	773-564-5102
Fax Number	:	773-564-5101

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	CAROL A BAILEY
Credential	:
Telephone Number	:	615-665-6000

Provider Enumeration Date	:	01/11/2006
Last Update Date	:	09/08/2016

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