Provena Mercy Medical Center

NPI #1912253568 in Batavia, Illinois

Provider Information

NPI Number
1912253568
Entity Type
Organization
Organization Name
Provena Mercy Medical Center
Primary Specialty
General Acute Care Hospital
Enumeration Date
Aug 1, 2012
Last Updated
Aug 1, 2012

Practice Location

Address
136 SPUHLER DR
ZIP Code
60510-1625
Phone
(630) 879-1969

Authorized Official

Name
MRS. VIRGENE GALLOWAY, OTR/L
Title
OCCUPATIONAL THERAPIST
Phone
(630) 907-0263

Specialties & Taxonomy Codes

Specialty
General Acute Care Hospital

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