Organization Name: | GOTTLIEB MEMORIAL HOSPITAL |
NPI Number: | 1659473718 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELLYN CHIN (VICE PRESIDENT OF FINANCE) |
Mailing Address: | 675 W North Ave Melrose Park |
State: | IL US |
Postal Code: | 601601634 |
Phone Number: | 7086813200 |
Fax Number: | 7084505058 |
NPI Enumeration Date: | 09/01/2006 |
NPI Last Update Date: | 10/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 0005561 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |