Provider Demographics
NPI:1750686937
Name:SAINTS MARY AND ELIZABETH MEDICAL CENTER
Entity Type:Organization
Organization Name:SAINTS MARY AND ELIZABETH MEDICAL CENTER
Other - Org Name:SMEMC HOSPITALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:NICOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:BYRNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-813-3711
Mailing Address - Street 1:2233 W DIVISION ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-3086
Mailing Address - Country:US
Mailing Address - Phone:312-770-2000
Mailing Address - Fax:
Practice Address - Street 1:62162 COLLECTIONS DR
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60693-0621
Practice Address - Country:US
Practice Address - Phone:630-734-0200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-19
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty