Presence Saint Joseph Hospital

NPI 1124116876

Information of Presence Saint Joseph Hospital

The NPI 1124116876 is an Organization type. NPI No 1124116876 belongs to Presence Saint Joseph Hospital. Presence Saint Joseph Hospital specializes in Allergy & Immunology. is practising at 2900 North Lakeshore Drive, Chicago, Illinois 60657. You can also contact him via phone number (773) 665-3080.

Practice address located

  • 2900 North Lakeshore Drive
  • Chicago, Illinois 60657
  • (773) 665-3080
  • (773) 665-3080

Mailling address located

  • 1000 Remington Boulevard
  • Bolingbrook, Illinois 60440
  • (630) 914-2417
  • (630) 914-2499
Presence Saint Joseph Hospital is PECOS enrolled.
NPI No 1124116876
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
No207K00000XAllergy & Immunologyn/an/a
No207N00000XDermatologyn/an/a
Yes207R00000XInternal Medicinen/an/a
No207RI0200XInfectious Diseasen/an/a
No207RR0500XRheumatologyn/an/a
No207V00000XObstetrics & Gynecologyn/an/a
No207W00000XOphthalmologyn/an/a
No207Y00000XOtolaryngologyn/an/a
No208000000XPediatricsn/an/a
No2084P0800XPsychiatryn/an/a
No208600000XSurgeryn/an/a
No208800000XUrologyn/an/a
Identifier for this provider
StateIdentifierTypeIssuer
n/a988270Medicare PINn/a
IL1632129OtherBCBS PROVIDER #
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