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NPI Code Detail

MEDICARE: MICHAEL REESE MEDICAL CENTER CORP

MEDICARE: MICHAEL REESE MEDICAL CENTER CORP
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
1273Y00000XRehabilitation Hospital Unit0004986IL

General Provider Information

NPI Number : 1053385138
Entity Type Code : Organization
Provider Name (Legal Business Name) : MICHAEL REESE MEDICAL CENTER CORP
Provider Business Mailing Address
First Line : 2929 S ELLIS AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60616-3395
Country : US
Telephone Number : 312-791-2000
Fax Number : 312-791-2252
Provider Business Practice Location Address
First Line : 2929 S ELLIS AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60616-3395
Country : US
Telephone Number : 312-791-2000
Fax Number : 312-791-2252
Authorized Official
Title or Position : DIRECTOR REVENUE CYCLE
Name : MRS. MARY ANN MEADE
Credential :
Telephone Number : 312-791-3132
Provider Enumeration Date : 02/15/2006
Last Update Date : 08/22/2020

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Directions to “MICHAEL REESE MEDICAL CENTER CORP ” Practice Location

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