ST JAMES HOSPITAL UNITED STATES CATHOLIC CONFERENCE (NPI# 1073794517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073794517 |
| Entity Type | Organization |
| Organization Name | ST JAMES HOSPITAL UNITED STATES CATHOLIC CONFERENCE |
| Other Organization Name | ST JAMES DIABETES |
| Practice Address |
30 E 15th St Suite 314 Chicago Heights IL 60411-3459 |
| Practice Telephone | 7087092010 |
| Practice Fax Number | 7087553393 |
| Mailing Telephone | 7087092010 |
| Mailing Fax Number | 7087553393 |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2008-09-15 |
| Authorized Official Name | MRS. DEANNA MARIE BASS (BILLER) |
| Authorized Official Telephone | 7087553348 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
1813312 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 1619159 | 01 |
| IL | RAILROAD | CC1471 | 01 |
| IL | 036046124 | 05 |
| Other Name | Type Code |
|---|---|
| ST JAMES DIABETES | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750667754 | St James Hospital United States Catholic Conference | Family Medicine | 18030 Wolf Rd, Orland Park, IL 60467-5407 | 2011-10-24 |
| 1518266345 | St James Hospital United States Catholic Conference | Family Medicine | 19807 La Grange Rd, Mokena, IL 60448-8348 | 2011-03-18 |
| 1366716185 | St James Hospital United States Catholic Conference | Internal Medicine | 3800 W 203rd St, Suite 202, Olympia Fields, IL 60461-1184 | 2012-02-24 |
| 1457629966 | St James Hospital United States Catholic Conference | Internal Medicine | 30 E 15th St, Suite # 308, Chicago Heights, IL 60411-3459 | 2011-12-12 |
| 1124322680 | St James Hospital United States Catholic Conference | Family Medicine | 3700 W 203rd St, Olympia Fields, IL 60461-1180 | 2010-12-27 |
| 1144523994 | St James Hospital United States Catholic Conference | Family Medicine | 3900 W 203rd St, Olympia Fields, IL 60461-1183 | 2010-12-17 |
| 1619280203 | St James Hospital United States Catholic Conference | Family Medicine | 18636 Dixie Hwy, Homewood, IL 60430-3741 | 2010-07-23 |
| 1093028680 | St James Hospital United States Catholic Conference | Family Medicine | 17859 80th Ave, Tinley Park, IL 60477-5023 | 2010-07-23 |
| Street Address |
30 E 15TH ST SUITE 314 |
| City | CHICAGO HEIGHTS |
| State | IL |
| Zip Code | 60411-3459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376523647 | Ramesh Soundararajan | Internal Medicine | 30 E 15th St, Suite 201, Chicago Heights, IL 60411-3459 | 2006-01-20 |
| 1780167841 | Emerge Medstaffing LLC | Emergency Medicine | 30 E 15th St, Chicago Heights, IL 60411-3459 | 2018-09-13 |
| 1548638299 | Pushpa Soundararajan | Dietitian, Registered | 30 E 15th St, Suite 201, Chicago Heights, IL 60411-3459 | 2015-09-11 |
| 1629331087 | Richard Michael Louissaint | Emergency Medicine | 30 E 15th St, Chicago Heights, IL 60411-3459 | 2012-06-20 |
| 1457629966 | St James Hospital United States Catholic Conference | Internal Medicine | 30 E 15th St, Suite # 308, Chicago Heights, IL 60411-3459 | 2011-12-12 |
| 1871885731 | Amit Dhingra | Pharmacist | 30 E 15th St, Suite 204, Chicago Heights, IL 60411-3459 | 2011-05-11 |
| 1295055291 | Tilemahos D Spyratos | Internal Medicine | 30 E 15th St, Ste 207, Chicago Heights, IL 60411-3459 | 2010-06-02 |
| 1700013166 | Raghuvansh Kumar M.d;s.c | Physical Medicine & Rehabilitation | 30 E 15th St, Suite 312, Chicago Heights, IL 60411-3459 | 2009-06-12 |
| 1831324789 | Heather Ines Dieperink | Emergency Medicine | 30 E 15th St, Chicago Heights, IL 60411-3459 | 2009-05-21 |
| 1821237199 | Mdrx Medical,p.c. | Family Medicine | 30 E 15th St, Suite 308, Chicago Heights, IL 60411-3459 | 2009-02-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164044236 | Bryant Healthy Living, LLC | Nurse Practitioner | 19404 N. Creek Drive, Lynwood, IL 60411 | 2020-05-12 |
| 1235657263 | Natisha Olaseni | Case Manager/Care Coordinator | 641 W. 63rd Street, Chicago, IL 60411 | 2017-08-30 |
| 1033644497 | Fresenius Medical Care Chicagoland, LLC | Clinic/Center | 15 E. Independence Drive, Chicago Heights, IL 60411 | 2017-04-24 |
| 1992251771 | Latonya West | Counselor | 1640 215th Pl, Sauk Village, IL 60411 | 2016-08-31 |
| 1063868586 | Oho and Associates | Non-emergency Medical Transport (VAN) | 1010 S. Dixie Hwy, Chicago Heights, IL 60411 | 2016-05-13 |
| 1578945309 | Albert Ellis Jr. | Counselor | 395 West Lincoln Highway, Chicago Heights, IL 60411 | 2015-06-29 |
| 1407238181 | Stephanie Touney | Behavioral Analyst | 450 West 14th Street, Chicago Heights, IL 60411 | 2015-06-18 |
| 1851788582 | Dlw Transporation Corp | Non-emergency Medical Transport (VAN) | 603 Andover, Chicago H.t.s., IL 60411 | 2015-04-21 |
| 1215338983 | Stephanie Anderson-bell | Occupational Therapist | 630 Ranger Dr., Chicago Heights, IL 60411 | 2014-09-11 |
| 1255778221 | Aunt Martha's Youth Service Center, Inc | Clinic/Center | 500 Dixie Highway, Chicago Heights, IL 60411 | 2013-05-30 |
| Find all providers in zip 60411 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891988564 | Cansler Health Asso., S.c. | Clinic/Center | 30 E 15th St, Suite 306, Chicago Heights, IL 60411-3459 | 2007-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295351062 | Sara M Gotheridge Md LLC | Clinic/Center | 630 Davis St Ste 301, Evanston, IL 60201-4480 | 2020-06-17 |
| 1407484645 | Macumber Medical Ltd | Clinic/Center | 3114 W Irving Park Rd Ste 1w, Chicago, IL 60618-3435 | 2020-04-01 |
| 1477181782 | Embassy Studios North | Clinic/Center | 6455 N Cicero Ave, Lincolnwood, IL 60712-3407 | 2020-03-31 |
| 1689226318 | Midway Spine and Joint Pain Physicians | Clinic/Center | 5720 S Pulaski Rd, Chicago, IL 60629-4435 | 2019-07-12 |
| 1215598891 | Vero Clinics | Clinic/Center | 1192 E Pershing Rd, Decatur, IL 62526-4753 | 2019-06-25 |
| 1497215933 | Activate Healthcare | Clinic/Center | 2010 N Damen Ave Unit F, Chicago, IL 60647-3286 | 2019-03-21 |
| 1033699467 | Healthpointe Medical Center Sc | Clinic/Center | 530 Fullerton Rd Ste B, Swansea, IL 62226-2970 | 2018-08-15 |
| 1740794882 | Highland Park Cvs, L.L.C. | Clinic/Center | 72 Airport Plz, Bethalto, IL 62010-1774 | 2017-11-28 |
| 1447764014 | Dr Courtney Drendel Inc | Clinic/Center | 515 Hamilton St # 100, Geneva, IL 60134-2138 | 2017-11-19 |
| 1699206599 | David M Conner M.d. | Clinic/Center | 9 Executive Woods Ct Ste 2, Swansea, IL 62226-2016 | 2017-03-22 |
| Find all providers with the same taxonomy | ||||
| City | CHICAGO HEIGHTS |
| Zip Code | 60411 |
Please comment or provide details below to improve the information on ST JAMES HOSPITAL UNITED STATES CATHOLIC CONFERENCE.
| 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.