| St. Bernard Hospital Psych Dpu | |
|
326 W 64th St Chicago IL 60621-3114 | |
| (773) 962-4100 | |
| (773) 962-9276 |
| Full Name | St. Bernard Hospital Psych Dpu |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 326 W 64th St, Chicago, Illinois |
| Authorized Official Name and Position | Guy Richard Alton (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7739624073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Bernard Hospital Psych Dpu 326 W 64th St Chicago IL 60621-3114 Ph: (773) 962-4100 | St. Bernard Hospital Psych Dpu 326 W 64th St Chicago IL 60621-3114 Ph: (773) 962-4100 |
| NPI Number | 1477690873 |
|---|---|
| Provider Enumeration Date | 02/01/2007 |
| Last Update Date | 09/10/2010 |
| Medicare PECOS PAC ID | 1759361579 |
|---|---|
| Medicare Enrollment ID | O20100909001054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477690873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 0002303 (Illinois) | Primary |
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