| Swedish Covenant Health | |
|
5145 N California Ave Chicago IL 60625-3661 | |
| (773) 878-8200 | |
| (773) 293-4371 |
| Full Name | Swedish Covenant Health |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 5145 N California Ave, Chicago, Illinois |
| Authorized Official Name and Position | Nicola Byrne (AVP FINANCE) |
| Authorized Official Contact | 7732935199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Swedish Covenant Health 5145 N California Ave Chicago IL 60625-3661 Ph: (773) 878-8200 | Swedish Covenant Health 5145 N California Ave Chicago IL 60625-3661 Ph: (773) 878-8200 |
| NPI Number | 1336101302 |
|---|---|
| Provider Enumeration Date | 04/05/2006 |
| Last Update Date | 01/27/2022 |
| Certification Date | 01/27/2022 |
| Medicare PECOS PAC ID | 6305759945 |
|---|---|
| Medicare Enrollment ID | O20091020000317 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336101302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 002717 (Illinois) | Primary |
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