| Organization Name: | MERCY HOSPITAL &MEDICAL CENTER |
| NPI Number: | 1215914791 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ERIC KRUEGER (CFO) |
| Mailing Address: | 2525 S Michigan Ave Att: Physician Billing/credentialing Dept Chicago |
| State: | IL US |
| Postal Code: | 606162315 |
| Phone Number: | 3125677924 |
| Fax Number: | 3125676189 |
| NPI Enumeration Date: | 12/27/2005 |
| NPI Last Update Date: | 03/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | ========= |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |