Hines Va Hospital

NPI #1558525246 in Midlothian, Illinois

Provider Information

NPI Number
1558525246
Entity Type
Organization
Organization Name
Hines Va Hospital
Primary Specialty
Clinic/Center - Methadone
Enumeration Date
Jul 11, 2008
Last Updated
Jul 11, 2008

Practice Location

Address
14643 KEYSTONE AVE
ZIP Code
60445-2746
Phone
(708) 202-8387

Authorized Official

Name
DR. DAVID ANTHONY BARTHWELL, MD
Title
MEDICAL DIRECTOR
Phone
(708) 202-8387

Specialties & Taxonomy Codes

Specialty
Clinic/Center - MethadoneMethadone

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