St James Hospital US Catholic Conference

NPI #1861705303 in Olympia Fields, Illinois

Provider Information

NPI Number: 1861705303
Entity Type: Organization
Organization Name: St James Hospital US Catholic Conference
Primary Specialty: Podiatrist
Enumeration Date: Jul 26, 2010
Last Updated: Dec 2, 2010

Practice Location

Address: 20201 CRAWFORD AVE
Address 2: SUITE 1403
City: Olympia Fields
State: Illinois
ZIP Code: 60461-1010
Phone: (708) 755-3348

Authorized Official

Name: MRS. DEANNA MARIE BASS
Title: ACCOUNT RESPRESENTATIVE
Phone: (708) 755-3348

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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