Osf Little Company Of Mary Medical Center | |
2800 W 95th St Evergreen Park IL 60805-2701 | |
(708) 422-6300 | |
Not Available |
Full Name | Osf Little Company Of Mary Medical Center |
---|---|
Speciality | Psychiatric Unit |
Location | 2800 W 95th St, Evergreen Park, Illinois |
Authorized Official Name and Position | Robert C Sehring (CEO) |
Authorized Official Contact | 3096552850 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Osf Little Company Of Mary Medical Center 124 Sw Adams St Peoria IL 61602-1308 Ph: (309) 655-2850 | Osf Little Company Of Mary Medical Center 2800 W 95th St Evergreen Park IL 60805-2701 Ph: (708) 422-6300 |
NPI Number | 1295370039 |
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Provider Enumeration Date | 11/15/2019 |
Last Update Date | 03/18/2024 |
Certification Date | 03/18/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295370039 | NPI | - | NPPES |
028 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
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