Provider Demographics
NPI:1437389442
Name:HINSDALE HOSPITAL
Entity Type:Organization
Organization Name:HINSDALE HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERD LICENSED DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LDN,
Authorized Official - Phone:630-856-3750
Mailing Address - Street 1:120 N. OAK STREET
Mailing Address - Street 2:HINSDALE HOSPITAL
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521
Mailing Address - Country:US
Mailing Address - Phone:630-856-3750
Mailing Address - Fax:
Practice Address - Street 1:120 N. OAK STREET
Practice Address - Street 2:HINSDALE HOSPITAL
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521
Practice Address - Country:US
Practice Address - Phone:630-856-3750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-24
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL133V00000X
IL164001062282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
No282N00000XHospitalsGeneral Acute Care HospitalGroup - Multi-Specialty