Roseland Community Hospital Association in Burbank - Child & Adolescent Psychiatry
Roseland Community Hospital Association - NPI 1306029889
Roseland Community Hospital Association is a Child & Adolescent Psychiatry in Burbank, Illinois. Roseland Community Hospital Association practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Roseland Community Hospital Association is 1306029889. The last update date is 2016-11-29.
Roseland Community Hospital Association's current location address is 5501 West 79th Street, Burbank, Illinois. You can contact this provider via phone number 7739953000 and fax number 7739956602. The mailing address for Roseland Community Hospital Association is 5501 West 79th Street, Burbank, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Roseland Community Hospital Association |
|---|---|
| Address | 5501 West 79th Street, Burbank, Illinois |
| Phone Number | 7739953000 |
| Fax Number | 7739956602 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Kemp V Marlo |
| Credentials | CFO |
| Telephone Number | 7739953000 |
NPI Number Detail
| NPI Number | 1306029889 |
|---|---|
| Provider Enumeration Date | 2007-12-07 |
| Last Updated Date | 2016-11-29 |
Provider Mailing Address Detail
| Address | 5501 West 79th Street |
|---|---|
| City | Burbank |
| State | Illinois (IL) |
| Post Code | 604592190 |
| Phone Number | 7739953000 |
| Fax Number | 7739956602 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
|
Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1622034 | IL | BLUE SHIELD | |
| 1622034 | BCBS |
Post Comment/ Review Below
What is the Roseland Community Hospital Association's 1306029889?
The Roseland Community Hospital Association's NPI (National Provider Identifier) Number is 1306029889. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Roseland Community Hospital Association's facilities are situated?
The facilities of Roseland Community Hospital Association are physically located at the following address: 5501 West 79Th Street, Burbank, IL, 604592190.
What is Roseland Community Hospital Association's area of expertise and its corresponding taxonomy classification?
The Roseland Community Hospital Association's field of specialization is Child & Adolescent Psychiatry, and it falls under the taxonomy code 2084P0804X, which categorizes healthcare providers based on their areas of practice.
On what date did the Roseland Community Hospital Association receive the assignment of its 1306029889 from the Centers for Medicare & Medicaid Services?
The Roseland Community Hospital Association was issued its 1306029889 by the Centers for Medicare & Medicaid Services on 2007-12-07.
When was the information pertaining to Roseland Community Hospital Association most recently updated or revised?
The details related to Roseland Community Hospital Association, including its address, specialty, and other relevant information, were last updated or revised on 2016-11-29.