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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROVENA ST MARYS HOSPITAL

Active Organization

PROVENA ST MARYS HOSPITAL is a Clinical Social Worker organization located in BOURBONNAIS, Illinois. NPI 1194982025 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · BOURBONNAIS, IL

Registration Details

NPI Number
1194982025
Provider Type
Organization
NPI Issued
May 19, 2008 (18.220655786346 yrs)
Last Updated
May 19, 2008
License
149006455 (IL)

Practice Information

Address
21 HERITAGE DRIVE
SUITE 102
BOURBONNAIS, IL, 60914
Browse IL providers · Browse ZIP 60914
Phone
8159372081
Fax
8159378798
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Organizations in BOURBONNAIS, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.