Provider Demographics
NPI:1205160751
Name:PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK
Entity type:Organization
Organization Name:PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REGIONAL FINANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHIMEROWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-337-2740
Mailing Address - Street 1:301 N. MADISON ST.
Mailing Address - Street 2:SUITE 300
Mailing Address - City:JOLIET
Mailing Address - State:IL
Mailing Address - Zip Code:60435
Mailing Address - Country:US
Mailing Address - Phone:815-725-4367
Mailing Address - Fax:815-773-7468
Practice Address - Street 1:301 N. MADISON ST.
Practice Address - Street 2:SUITE 300
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435
Practice Address - Country:US
Practice Address - Phone:815-725-4367
Practice Address - Fax:815-773-7468
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-30
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL140007Medicare PIN