| Edward J. Hines Hospital | |
|
5000 S 5th Ave Hines IL 60141-3030 | |
| (708) 202-4434 | |
| (708) 202-4954 |
| Full Name | Edward J. Hines Hospital |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 5000 S 5th Ave, Hines, Illinois |
| Authorized Official Name and Position | Lolita Drummond (SOCIAL WORKER) |
| Authorized Official Contact | 7082024434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward J. Hines Hospital 5650 N Sheridan Rd Apt 22c Chicago IL 60660-4879 Ph: (773) 878-8729 | Edward J. Hines Hospital 5000 S 5th Ave Hines IL 60141-3030 Ph: (708) 202-4434 |
| NPI Number | 1336382514 |
|---|---|
| Provider Enumeration Date | 04/17/2009 |
| Last Update Date | 04/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336382514 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 150004789 (Illinois) | Primary |
| 276400000X | Rehabilitation, Substance Use Disorder Unit | 24038 (Illinois) | Secondary |
John J. Madden Mhc Pav-4, Unit 4490 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 South First Ave, Hines, IL 60141 Phone: 708-338-7048 Fax: 708-338-7233 | |
John J. Madden Mhc Pav3, Unit 4480 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 South First Ave, Hines, IL 60141 Phone: 708-338-7048 Fax: 708-338-7233 | |
John J. Madden Mhc Pav-8, Unit 4361 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 South First Ave, Hines, IL 60141 Phone: 708-338-7048 Fax: 708-338-7233 | |
Mental Health Service Line Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5th Ave And Roosevelt Road, Hines, IL 60141 Phone: 708-202-8387 | |
John J. Madden Mhc Pav-6, Unit 4380 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 South First Ave, Hines, IL 60141 Phone: 708-338-7048 Fax: 708-338-7233 | |
John J. Madden Mhc Pav-5, Unit 4370 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 South First Ave, Hines, IL 60141 Phone: 708-338-7048 Fax: 708-338-7233 |