NPIMap

John J. Madden MHC Pav3, Unit 4480

Organization Active NPI Psychiatric Hospital Unit · Hines, IL

NPI 1154465128 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1154465128
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric Hospital Unit 273R00000X
Legal business name
JOHN J. MADDEN MHC PAV3, UNIT 4480
Practice address
1200 South First Ave
Hines, IL 60141-7000
Phone
(708) 338-7048
Fax
(708) 338-7233
NPI assigned
Feb 16, 2007
Organization subpart
No

Authorized official

Name
Fred Nirde
Title
Hospital Administrator
Phone
(708) 338-7048

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Howe Center - Unit 4264 (292 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X IL Yes

Addresses

Primary practice location

1200 South First Ave
Hines, IL 60141-7000

Mailing address

1200 South First Ave
Hines, IL 60141-7000
Phone (708) 338-7048

Other providers in Hines, IL

All providers in Hines, IL · Psychiatric Hospital Unit in Illinois

Sources for this page

Verify at the official NPI Registry.