St. Mary's Hospital

NPI #1598946543 in Streator, Illinois

Provider Information

NPI Number: 1598946543
Entity Type: Organization
Organization Name: St. Mary's Hospital
Subpart: Yes (part of a larger organization)
Parent Organization: ST. MARY'S HOSPITAL
Primary Specialty: Surgery - Vascular Surgery
Enumeration Date: Nov 19, 2007
Last Updated: May 13, 2009

Practice Location

Address: 104 E BRIDGE ST
City: Streator
State: Illinois
ZIP Code: 61364-2967
Phone: (815) 672-4015

Authorized Official

Name: KAREN S CLARK
Title: CFO
Phone: (815) 673-4514

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X	Primary

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