John J. Madden MHC Pav-5, Unit 4370
Organization
Active NPI
Psychiatric Hospital Unit · Hines, IL
NPI 1679617682 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1679617682
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric Hospital Unit 273R00000X
- Legal business name
- JOHN J. MADDEN MHC PAV-5, UNIT 4370
- 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
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National Provider Directory
- Tax ID family
- Howe Center - Unit 4264 (292 organizations share this tax ID)
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
| 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
- Charles NMN Joe, PHARMD
- John J. Madden MHC Pav 7, Unit 4390
- John J. Madden MHC Pav-1, Unit 4461
- John J. Madden MHC Pav-2, Unit 4470
- John J. Madden MHC Pav-4, Unit 4490
- John J. Madden MHC Pav-6, Unit 4380
- John J. Madden MHC Pav-8, Unit 4361
- John J. Madden MHC Pav3, Unit 4480
- William Ellsworth Johnson III, MSW, LCSW
- Javita Ann Johnson, MSW
All providers in Hines, IL
· Psychiatric Hospital Unit in Illinois