Provider Demographics
NPI:1750445987
Name:MACNEAL HEALTH PROVIDERS, INC.
Entity Type:Organization
Organization Name:MACNEAL HEALTH PROVIDERS, INC.
Other - Org Name:MACNEAL HEALTH PROVIDERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:KARLOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-783-3912
Mailing Address - Street 1:750 PASQUINELLI DR
Mailing Address - Street 2:SUITE 204
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-5567
Mailing Address - Country:US
Mailing Address - Phone:708-783-3912
Mailing Address - Fax:708-783-7190
Practice Address - Street 1:750 PASQUINELLI DR
Practice Address - Street 2:SUITE 204
Practice Address - City:WESTMONT
Practice Address - State:IL
Practice Address - Zip Code:60559-5567
Practice Address - Country:US
Practice Address - Phone:708-783-3912
Practice Address - Fax:708-783-7190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty