John J. Madden Mhc Pav-5, Unit 4370

NPI #1679617682 in Hines, Illinois

Provider Information

NPI Number: 1679617682
Entity Type: Organization
Organization Name: John J. Madden Mhc Pav-5, Unit 4370
Primary Specialty: Psychiatric Unit
Enumeration Date: Feb 16, 2007
Last Updated: Jul 21, 2022

Practice Location

Address: 1200 SOUTH FIRST AVE
City: Hines
State: Illinois
ZIP Code: 60141-7000
Phone: (708) 338-7048

Authorized Official

Name: FRED NIRDE
Title: HOSPITAL ADMINISTRATOR
Phone: (708) 338-7048

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychiatric Unit	273R00000X	Primary

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