Organization Name: | ABRAHAM LINCOLN MEMORIAL HOSPITAL |
NPI Number: | 1003941105 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARLA G SHANLE (PATIENT ACCOUNT MANAGER) |
Mailing Address: | 200 Stahlhut Dr Lincoln |
State: | IL US |
Postal Code: | 626565066 |
Phone Number: | 2177322161 |
Fax Number: | 2177353526 |
NPI Enumeration Date: | 02/22/2007 |
NPI Last Update Date: | 03/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NC2000X |
License Number: | 0000018 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Children |
Taxonomy Definition: |