Healthcare Provider Details

I. General information

NPI: 1508198383
Provider Name (Legal Business Name): SAINT JOSEPH HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2010
Last Update Date: 02/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 N SHERIDAN RD SUITE 304
CHICAGO IL
60657-6156
US

IV. Provider business mailing address

1431 N WESTERN AVE SUITE 306
CHICAGO IL
60622-1797
US

V. Phone/Fax

Practice location:
  • Phone: 312-332-2226
  • Fax: 773-276-1197
Mailing address:
  • Phone: 312-332-2226
  • Fax: 773-276-1197

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: JOHN STEINER
Title or Position: DIRECTOR PHYS SERVICES
Credential:
Phone: 773-665-3000