Organization · Type 2 NPI

Saints Mary and Elizabeth Medical Center

Mental Health Clinic/Center (Including Community Mental Health Center) · Chicago, IL

NPI number 1922375658 Active

Practice location

1127 N. OAKLEY--3RD Floor, Nazareth Family Center
Chicago, IL 60622

Fax (312) 770-2557

Specialties and licenses

Taxonomy	Code	License
Mental Health Clinic/Center (Including Community Mental Health Center) Primary	261QM0801X	2584 (IL)

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NPI record

NPI: 1922375658
Entity type: Organization (Type 2)
Issued: Nov 23, 2011
Last updated: Nov 23, 2011
Status: Active
Subpart: Yes of Saints Mary and Elizabeth Medical Center

Other names

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Resurrection Behavioral Health · other name

Authorized official

Mr. Frank Perham
Vice President, Resurrection Behavi
(708) 338-3806

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1922375658

Saints Mary and Elizabeth Medical Center's National Provider Identifier is 1922375658, issued on Nov 23, 2011. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Chicago, IL. The record was last updated on Nov 23, 2011.