NPI 1336382514

Edward J. Hines Hospital

Organisation Psychiatric Hospital Unit Hines, IL

Practice location

Address: 5000 S 5th Ave, Hines, IL 60141-3030
Phone: (708) 202-4434
Fax: (708) 202-4954
Mailing address: 5650 N Sheridan Rd APT 22c, Chicago, IL 60660-4879

Authorised official

Name: Lolita Drummond
Title: Social Worker
Phone: (708) 202-4434

Registered specialties (2)

Psychiatric Hospital Unit Primary

Hospital Units Taxonomy 273R00000X Licence 150004789 (IL)

Other Psychiatric Unit providers in Illinois →

Substance Use Disorder Rehabilitation Hospital Unit

Hospital Units Taxonomy 276400000X Licence 24038 (IL)

Other Rehabilitation, Substance Use Disorder Unit providers in Illinois →

Registry record

NPI: 1336382514
Entity type: Organization
NPI issued: 17 Apr 2009
Record last updated: 17 Apr 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.