| Presence St. Joseph Medical Center - Psychiatric Unit | |
|
333 Madison St Joliet IL 60435-8200 | |
| (815) 725-7133 | |
| Not Available |
| Full Name | Presence St. Joseph Medical Center - Psychiatric Unit |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 333 Madison St, Joliet, Illinois |
| Authorized Official Name and Position | Richard Douglas Carter (AMITA CFO) |
| Authorized Official Contact | 2242732350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Presence St. Joseph Medical Center - Psychiatric Unit 333 Madison St Joliet IL 60435-8200 Ph: (815) 725-7133 | Presence St. Joseph Medical Center - Psychiatric Unit 333 Madison St Joliet IL 60435-8200 Ph: (815) 725-7133 |
| NPI Number | 1003976713 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 12/28/2021 |
| Certification Date | 12/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003976713 | NPI | - | NPPES |
| 14-0007 | Other | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 0004838 (Illinois) | Primary |
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