Alverno Lakeside Corporation

NPI #1124021266 in Olympia Fields, Illinois

Provider Information

NPI Number: 1124021266
Entity Type: Organization
Organization Name: Alverno Lakeside Corporation
Subpart: Yes (part of a larger organization)
Parent Organization: ST. JAMES HOSPITAL, UNITED STATES CATHOLIC CONFERENCE
Primary Specialty: Ambulance
Enumeration Date: May 23, 2005
Last Updated: Jan 10, 2011

Practice Location

Address: 20201 CRAWFORD AVE
City: Olympia Fields
State: Illinois
ZIP Code: 60461-1010
Phone: (708) 756-1200

Authorized Official

Name: MR. JOHN SLYKAS
Title: MANAGER
Phone: (708) 747-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ambulance	341600000X	Primary

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