Provider Demographics
NPI:1932394921
Name:WORTH TOWNSHIP
Entity Type:Organization
Organization Name:WORTH TOWNSHIP
Other - Org Name:TOWN OF WORTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TOWNSHIP SUPERVISOR (ELECTED)
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-371-2900
Mailing Address - Street 1:11601 S PULASKI RD
Mailing Address - Street 2:
Mailing Address - City:ALSIP
Mailing Address - State:IL
Mailing Address - Zip Code:60803-1611
Mailing Address - Country:US
Mailing Address - Phone:708-371-2900
Mailing Address - Fax:708-371-2144
Practice Address - Street 1:11601 S PULASKI RD
Practice Address - Street 2:
Practice Address - City:ALSIP
Practice Address - State:IL
Practice Address - Zip Code:60803-1611
Practice Address - Country:US
Practice Address - Phone:708-371-2900
Practice Address - Fax:708-371-2144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-12
Last Update Date:2007-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center