| Metro South Medical Center | |
|
12935 Gregory St Blue Island IL 60406-2428 | |
| (708) 597-2000 | |
| (708) 389-9480 |
| Full Name | Metro South Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 12935 Gregory St, Blue Island, Illinois |
| Authorized Official Name and Position | Tara P Richardson (VP PATIENT FINANCIAL SERVICES) |
| Authorized Official Contact | 6152213672 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metro South Medical Center 12935 Gregory St Blue Island IL 60406-2428 Ph: (708) 597-2000 | Metro South Medical Center 12935 Gregory St Blue Island IL 60406-2428 Ph: (708) 597-2000 |
| NPI Number | 1972855963 |
|---|---|
| Provider Enumeration Date | 10/15/2012 |
| Last Update Date | 04/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972855963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 0005835 (Illinois) | Primary |
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