St Elizabeths Hospital of the Hospital Sisters of the Third Order

NPI #1104849165 in O Fallon, Illinois

Provider Information

NPI Number: 1104849165
Entity Type: Organization
Organization Name: St Elizabeths Hospital of the Hospital Sisters of the Third Order
Primary Specialty: Family Medicine
Enumeration Date: Jul 25, 2006
Last Updated: Oct 31, 2024

Practice Location

Address: 1512 N GREEN MOUNT RD
Address 2: SUITE 108
City: O Fallon
State: Illinois
ZIP Code: 62269-1953
Phone: (618) 624-5510

Authorized Official

Name: MARK D EVARD
Title: VP OF REVENUE CYCLE
Phone: (217) 492-9651

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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