Organization Name: | ST JAMES HOSPTIAL |
NPI Number: | 1144216474 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THOMAS W SENESAC (REGIONAL CFO) |
Mailing Address: | 1400 Otto Blvd Chicago Heights |
State: | IL US |
Postal Code: | 604113871 |
Phone Number: | 7087092165 |
Fax Number: | 7087092027 |
NPI Enumeration Date: | 09/22/2005 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251F00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Home Infusion |
Taxonomy Specialization: | |
Taxonomy Definition: |