PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER (NPI# 1124561428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124561428 |
Entity Type | Organization |
Organization Name | PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER |
Practice Address |
2233 W Division St Chicago IL 60622 |
Mailing Address |
2233 W Division St Chicago IL 60622-8151 |
Practice Telephone | 3127702000 |
Enumeration Date | 2016-11-18 |
Last Update Date | 2016-11-18 |
Authorized Official Name | PATRICK KELLY (ED MANAGER) |
Authorized Official Telephone | 3127703525 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282N00000X | General Acute Care Hospital | 150.101727 | IL | Hospitals |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811229693 | Presence Saints Mary and Elizabeth Medical Center | Neurological Surgery | 1431 N Western Ave, Suite 306, Chicago, IL 60622-1797 | 2010-02-04 |
1548471535 | Presence Saints Mary and Elizabeth Medical Center | Clinic/Center | 2233 West Division St, Chicago, IL 60622-3043 | 2007-05-24 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER | 2233 W Division St, Chicago, IL 60622-8151 |
Street Address |
2233 W DIVISION ST |
City | CHICAGO |
State | IL |
Zip Code | 60622 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801895263 | Maruti Bhorade, M.d. | Internal Medicine | 2233 W Division St, Chicago, IL 60622-3043 | 2005-07-19 |
1750909396 | Savannah Leigh Paul | Registered Nurse | 2233 W Division St, Chicago, IL 60622-8151 | 2020-07-09 |
1700413648 | Julian Carr Aliber | Physical Therapist | 2233 W Division St, Chicago, IL 60622-8151 | 2020-03-23 |
1598391674 | Vanessa Patkowski | Occupational Therapist | 2233 W Division St, Chicago, IL 60622-8151 | 2020-03-20 |
1013551472 | Work & Pillay Sc | Psychiatry & Neurology | 2233 W Division St, Chicago, IL 60622-8151 | 2019-10-29 |
1861043085 | Andrea Beshalske | Pharmacist | 2233 W Division St, Chicago, IL 60622-8151 | 2019-09-28 |
1982269379 | Jessica M Kunkel | Nurse Anesthetist, Certified Registered | 2233 W Division St, Chicago, IL 60622-8151 | 2019-05-01 |
1427514280 | Megan Hynes | Registered Nurse | 2233 W Division St, Chicago, IL 60622-8151 | 2019-02-18 |
1548724982 | Joel Manalo Ocampo | Nurse Practitioner | 2233 W Division St, Chicago, IL 60622-8151 | 2019-01-30 |
1104390301 | Adriel Geoff Cansino | Registered Nurse | 2233 W Division St, Chicago, IL 60622-8151 | 2019-01-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447880471 | Erikson Institute | Clinic/Center | 2739 W Division St, Chicago, IL 60622 | 2020-01-17 |
1720620545 | Emily Claire Bonanno | Counselor | 1397 N Miwaukee Ave, Chicago, IL 60622 | 2019-10-14 |
1891342093 | Taylor Mallon | Speech-Language Pathologist | 8870 South Duffy Avenue, Apartment 406, Chicago, IL 60622 | 2019-08-22 |
1083260277 | Maggie Inman | Student in an Organized Health Care Education/Training Program | 1431 N Claremont Avenue, 2nd Floor Pavilion, Chicago, IL 60622 | 2019-08-13 |
1174176168 | Karol Maricel Quelal Analuisa | Internal Medicine | 1901 W Harrison, Chicago Il 60612-3714, Chicago, IL 60622 | 2019-07-19 |
1073076105 | Nichole Galullo | Social Worker | 1431 N Claremont 2nd Floor, Chicago, IL 60622 | 2019-04-06 |
1003375122 | Alfredo Delgado Perez Sr. | Psychologist | 1127 N Oakley Bvl 3 Floor, Chicago, IL 60622 | 2019-03-18 |
1841773439 | Abigail Hector | Counselor | 1521 N Milwaukee Ave, 3n, Chicago, IL 60622 | 2018-09-11 |
1164916144 | Dorothy Mitkowski | Student in an Organized Health Care Education/Training Program | 1127 N. Oakley Blvd., 2nd Floor, Chicago, IL 60622 | 2018-06-21 |
1255825121 | Kara Lynn Daniel | Speech-Language Pathologist | 1540 N Artesian Ave Apt 2r, Chicago, IL 60622 | 2018-06-14 |
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Taxonomy Code | 282N00000X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801337506 | University of Chicago Medical Center | General Acute Care Hospital | 1122 Paysphere Cir, Chicago, IL 60674-0011 | 2017-03-14 |
1336598937 | Daniel Benjamin Holt Jr. | General Acute Care Hospital | 2448 N Seminary Ave, Apt 2b, Chicago, IL 60614-7445 | 2016-06-06 |
1841650942 | Latoyia Roman | General Acute Care Hospital | 6756 S Oglesby Ave, Unit 1, Chicago, IL 60649-1316 | 2016-03-02 |
1306203583 | Rush University Medical Center | General Acute Care Hospital | 4536 N Greenview Ave Apt 2n, Chicago, IL 60640-5475 | 2016-01-19 |
1144694639 | Danielle Marie Valentino | General Acute Care Hospital | 5841 S Maryland Ave # Mc6065, Chicago, IL 60637-1443 | 2015-11-20 |
1467830745 | Mcgaw Medical Center of Nu | General Acute Care Hospital | 737 N Michigan Ave, Ste 1600 Nmh, Cardiovascular Imaging, Chicago, IL 60611 | 2015-05-07 |
1467846022 | Andres Maldonad | General Acute Care Hospital | 6019 S Ingleside Ave, Apartment 902, Chicago, IL 60637-2600 | 2015-03-22 |
1093117921 | Sj Termini, Dds PC | General Acute Care Hospital | 1074 W Taylor St # 207, Chicago, IL 60607-4336 | 2014-09-23 |
1982014841 | None | General Acute Care Hospital | 2323 W 114th St, Chicago, IL 60643-4108 | 2014-04-30 |
1770905804 | Esad Zisko | General Acute Care Hospital | 2441 W Farragut Ave Apt 3b, Chicago, IL 60625-2477 | 2014-01-08 |
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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.