Gottlieb Hospice Program

LBN: Gottlieb Memorial Hospital
Gottlieb Hospice Program is an health care organization with primary practice located at 701 West North Avenue , Melrose Park IL 60160-1602. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Gottlieb Memorial Hospital can be contacted via phone (708) 216-4983, or through Sial, Ajay S. via phone (708) 216-4252.

Contact Information

Primary practice address
701 West North Avenue Melrose Park IL 60160-1602
Phone: (708) 216-4983
Fax: (708) 216-0808
Website:
Map and Directions
Authorized official contact:
Name: Sial, Ajay S.
Phone: (708) 216-4252

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 0005561 Illinois

Profile Details

NPI number 1225141104
LBN Legal business name Gottlieb Memorial Hospital
DBA Doing business as Gottlieb Hospice Program
Authorized official Sial, Ajay S.
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 16th, 2006
Last updated Apr 29th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225141104 NPPES
Illinois Other 9559 BLUE CROSS

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