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General NPI Number Information
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NPI Number | 1306604715
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Entity Type | Organization
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Legal Business Name | SAINT ANTHONY HOSPITAL
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 08/28/2024
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Provider Practice Location Address
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Address Line | 3059 W 26TH ST
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City | CHICAGO
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State | IL
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Zip | 60623-4131
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Country | US
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Telephone | 773-696-9490
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Fax | 773-376-3720
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Provider Business Mailing Address
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Address Line | 1340 S DAMEN AVE
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City | CHICAGO
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State | IL
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Zip | 60608-1169
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL, DTR. RCM & PFS
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Name | ROSE ROSARIO
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Credential |
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Telephone | 773-484-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS0132X
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Taxonomy Name | Ophthalmologic Surgery Clinic/Center
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License Number |
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License Number State |
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