Provider Demographics
NPI:1609144492
Name:CHRIST MEDICAL CENTER
Entity Type:Organization
Organization Name:CHRIST MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEE
Authorized Official - Middle Name:
Authorized Official - Last Name:TAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:708-684-4988
Mailing Address - Street 1:9440 S 51ST AVE APT 211
Mailing Address - Street 2:
Mailing Address - City:OAK LAWN
Mailing Address - State:IL
Mailing Address - Zip Code:60453-6295
Mailing Address - Country:US
Mailing Address - Phone:773-706-6548
Mailing Address - Fax:
Practice Address - Street 1:9440 S 51ST AVE APT 211
Practice Address - Street 2:
Practice Address - City:OAK LAWN
Practice Address - State:IL
Practice Address - Zip Code:60453-6295
Practice Address - Country:US
Practice Address - Phone:773-706-6548
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-07
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital