Healthcare Provider Details

I. General information

NPI: 1487844015
Provider Name (Legal Business Name): ST JAMES HOSPITAL US CATHOLIC CONFERENCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20201 CRAWFORD AVE
OLYMPIA FIELDS IL
60461-1010
US

IV. Provider business mailing address

38005 EAGLE WAY
CHICAGO IL
60678-0001
US

V. Phone/Fax

Practice location:
  • Phone: 708-503-3811
  • Fax:
Mailing address:
  • Phone: 708-503-3811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number StateIL

VIII. Authorized Official

Name: THOMAS SENESAC
Title or Position: REGIONAL CHIEF FINANCIAL OFFICER
Credential:
Phone: 708-756-1000