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Contact Information

SAINT MARY OF NAZARETH PHO
1021 WEST ADAMS STREET
SUITE 300
CHICAGO, IL60607
 Phone: 773-572-8300
 Fax: 312-455-9485
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Maintenance Organization

302R00000X
Indicates primary specialty

NPI Profile & details for SAINT MARY OF NAZARETH PHO

NPI # 1164517462
LBN Legal business name SAINT MARY OF NAZARETH PHO
Authorized official ELIZABETH KOCH - (DIRECTOR OF CONTRACTING)
Entity Organization
Organization subpart 1 No
Enumeration date 10/03/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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