St Marys Hospital

NPI #1770710360 in Streator, Illinois

Provider Information

NPI Number: 1770710360
Entity Type: Organization
Organization Name: St Marys Hospital
Subpart: Yes (part of a larger organization)
Parent Organization: ST MARYS HOSPITAL
Primary Specialty: Urology
Enumeration Date: Jun 22, 2009
Last Updated: Feb 15, 2010

Practice Location

Address: 104 W 6TH ST
City: Streator
State: Illinois
ZIP Code: 61364-2899
Phone: (815) 672-7289

Authorized Official

Name: ANGIE HOUCH
Title: MANAGER, PFS
Phone: (815) 673-4603

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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