LORETTO HOSPITAL (NPI# 1023342664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023342664 |
| Entity Type | Organization |
| Organization Name | LORETTO HOSPITAL |
| Practice Address |
645 S Central Ave Chicago IL 60644-5059 |
| Practice Telephone | 7738545066 |
| Practice Fax Number | 7736267902 |
| Mailing Telephone | 7738545066 |
| Mailing Fax Number | 7736267902 |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-09-30 |
| Authorized Official Name | STEVE DRUCKER (CEO) |
| Authorized Official Telephone | 7738545000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
1899715 | IL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326516584 | Loretto Hospital | Clinic/Center | 7431 S East End Ave, Floor 1st Suite 2, Chicago, IL 60649-3611 | 2018-11-06 |
| 1568958726 | Loretto Hospital | Clinic/Center | 1000 Madison St, Oak Park, IL 60302 | 2018-07-10 |
| 1306318753 | Loretto Hospital | Counselor | 645 S Central Ave, Chicago, IL 60644-5059 | 2018-12-26 |
| 1376025304 | Loretto Hospital | Clinic/Center | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2018-09-06 |
| 1073092359 | Loretto Hospital | Clinic/Center | 6905 Cermak Rd Ste A, Berwyn, IL 60402-2175 | 2018-08-08 |
| 1801314380 | Loretto Hospital | Clinic/Center | 645 S Central Ave, Chicago, IL 60644-5059 | 2017-09-05 |
| 1801336193 | Loretto Hospital | Substance Abuse Rehabilitation Facility | 645 S Central Ave, Chicago, IL 60644-5059 | 2017-03-06 |
| 1215395496 | Loretto Hospital | Substance Abuse Rehabilitation Facility | 645 S Central Ave, Chicago, IL 60644-5059 | 2016-02-03 |
| 1831364132 | Loretto Hospital | Clinic/Center | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2008-04-28 |
| 1447280284 | Loretto Hospital | General Acute Care Hospital | 645 S Central Ave, Chicago, IL 60644-5059 | 2006-07-04 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LORETTO HOSPITAL | 645 S Central Ave, Chicago, IL 60644-5059 |
| Street Address |
645 S CENTRAL AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60644-5059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174512917 | M S Bhagavan | Internal Medicine | 645 S Central Ave, Chicago, IL 60644 | 2005-10-14 |
| 1811514532 | Meridian Physician Group Pllc | Podiatrist | 645 S Central Ave, Chicago, IL 60644-5059 | 2020-06-29 |
| 1104440361 | Saarah Alkhairy | Psychiatry & Neurology | 645 S Central Ave, Chicago, IL 60644-5059 | 2020-06-03 |
| 1821612185 | Islam Khaled Hussein | Psychiatry & Neurology | 645 S Central Ave, Chicago, IL 60644-5059 | 2020-06-02 |
| 1417571761 | Sam K Suhail | Psychiatry & Neurology | 645 S Central Ave, Chicago, IL 60644-5059 | 2020-06-02 |
| 1841814191 | Omer Majdobeh | Psychiatry & Neurology | 645 S Central Ave, Chicago, IL 60644-5059 | 2020-06-02 |
| 1053944405 | Ferrer Hameed | Physical Therapist | 645 S Central Ave, Chicago, IL 60644-5059 | 2020-02-13 |
| 1780246488 | Onetha U Taylor | Nurse Practitioner | 645 S Central Ave, Chicago, IL 60644-5059 | 2019-07-02 |
| 1548826571 | Stephanie Atoyebi | Podiatrist | 645 S Central Ave, Chicago, IL 60644-5059 | 2019-05-15 |
| 1306318753 | Loretto Hospital | Counselor | 645 S Central Ave, Chicago, IL 60644-5059 | 2018-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710535638 | Marta Yvonne Palmer | Technician | 5008 W Adams, Chicago, IL 60644 | 2019-09-04 |
| 1861056848 | B U I L D Incorporated | Social Worker | 5100 W Harrison St., Chicago, IL 60644 | 2019-04-25 |
| 1851806269 | Habilitative Systems, Inc. | Case Management | 4732 W Ohio St, Chicago, IL 60644 | 2017-12-07 |
| 1336408665 | Meghan Nancy Daw | Dietitian, Registered | 646 S Central Ave, Chicago, IL 60644 | 2012-05-07 |
| 1164790515 | Elizabeth Eleanor Reid-tate | Pharmacist | 5222 W. Madison Avenue, Chicago, IL 60644 | 2011-12-13 |
| 1134458466 | Power Teen Program | Psychologist | 300 N Central Ave, Chicago, IL 60644 | 2009-12-16 |
| 1417198342 | Betty Jean Lofton | Counselor | 5938 W. Midway Park, Chicago, IL 60644 | 2009-03-24 |
| 1881856094 | Sanjay M. Patel M.d. S.c. | Psychiatry & Neurology | 5730 W. Roosevelt Road, Chicago, IL 60644 | 2008-06-29 |
| 1639348691 | Ysl Care, Inc | Community Based Residential Treatment Facility, Mental Illness | 5107-21 West Jackson Blvd, Chicago, IL 60644 | 2008-02-25 |
| 1073795845 | Maryanne Rakidzioski | Occupational Therapist | 5103 W Jackson Blvd, Chicago, IL 60644 | 2007-12-03 |
| Find all providers in zip 60644 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
| 1386241123 | Envision Unlimited | Clinic/Center | 1801 N Spaulding Ave, Chicago, IL 60647-4926 | 2020-10-05 |
| 1881291789 | Jessica Weisbach, LLC | Clinic/Center | 2257 N Kedzie Blvd Apt 3, Chicago, IL 60647-2561 | 2020-10-04 |
| 1619574803 | Envision Unlimited | Clinic/Center | 2124 W 82nd Pl, Chicago, IL 60620-5358 | 2020-10-01 |
| 1144827320 | Envision Unlimited | Clinic/Center | 4919 N Clark St, Chicago, IL 60640-3514 | 2020-10-01 |
| 1194322370 | Envision Unlimited | Clinic/Center | 4911 S Hoyne Ave, Chicago, IL 60609-4721 | 2020-10-01 |
| 1144837055 | Totality. Therapies LLC | Clinic/Center | 2027 W Division St Ste 157, Chicago, IL 60622-9024 | 2020-09-24 |
| 1790391373 | Luminary Solutions, LLC | Clinic/Center | 3166 N Lincoln Ave Ste 305, Chicago, IL 60657-3119 | 2020-09-19 |
| 1114533924 | A Safe Haven, L.L.C. | Clinic/Center | 600 S Wabash Ave, Chicago, IL 60605-1808 | 2020-09-17 |
| 1235745142 | A Safe Haven, L.L.C. | Clinic/Center | 7355 N Damen Ave, Chicago, IL 60645-2311 | 2020-09-17 |
| 1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.