Healthcare Provider Details

I. General information

NPI: 1356694871
Provider Name (Legal Business Name): MERCY HOSPITAL & MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2012
Last Update Date: 07/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5525 S PULASKI RD
CHICAGO IL
60629-4417
US

IV. Provider business mailing address

5525 S PULASKI RD
CHICAGO IL
60629-4417
US

V. Phone/Fax

Practice location:
  • Phone: 773-432-0100
  • Fax:
Mailing address:
  • Phone: 773-432-0100
  • Fax: 773-432-0101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: STEVE SILVERSTEIN
Title or Position: PHARMACY HEALTH SYSTEM DIRECTOR
Credential: PHARMD
Phone: 312-567-2489