SAINT ANTHONY HEALTH AFFILIATES (NPI# 1154713980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154713980 |
| Entity Type | Organization |
| Organization Name | SAINT ANTHONY HEALTH AFFILIATES |
| Other Organization Name | LITTLE VILLAGE CLINIC |
| Practice Address |
3059 W 26th St Chicago IL 60623-4131 |
| Mailing Address |
Po Box 83 Crown Point IN 46308-0083 |
| Practice Telephone | 7736969490 |
| Practice Fax Number | 7733763720 |
| Mailing Telephone | 7734844783 |
| Enumeration Date | 2015-03-03 |
| Last Update Date | 2020-04-19 |
| Authorized Official Name | GUY MEDAGLIA (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 7734844783 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAINT ANTHONY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Little Village Clinic | Other Name - Individual/Organization |
| SAH Community Care Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295010056 | Saint Anthony Health Affiliates | Clinic/Center | 2875 West 19th Street, Chicago, IL 60623-3501 | 2011-10-12 |
| 1295757771 | Saint Anthony Health Affiliates | Social Worker | 4177 South Archer Avenue, Chicago, IL 60632-1849 | 2006-07-24 |
| 1922025709 | Saint Anthony Health Affiliates | Clinic/Center | 2645 W 51st St, Chicago, IL 60632-1559 | 2006-07-16 |
| 1659985661 | Saint Anthony Health Affiliates | Clinic/Center | 30 N Michigan Ave, Chicago, IL 60602-3402 | 2020-09-08 |
| 1538655949 | Saint Anthony Health Affiliates | Clinic/Center | 1600 W 13th St, Chicago, IL 60608-1304 | 2018-07-09 |
| 1376079517 | Saint Anthony Health Affiliates | Clinic/Center | 4455 S Kedzie Ave, Chicago, IL 60632-2814 | 2017-05-09 |
| 1881086064 | Saint Anthony Health Affiliates | Clinic/Center | 2001 S California Ave, Chicago, IL 60608-2486 | 2015-02-25 |
| 1912397480 | Saint Anthony Health Affiliates | Clinic/Center | 4455 S Kedzie Ave, Chicago, IL 60632-2814 | 2015-02-04 |
| 1023453750 | Saint Anthony Health Affiliates | Anesthesiology | 2875 W 19th St, Chicago, IL 60623-3501 | 2013-05-08 |
| 1902825292 | Saint Anthony Health Affiliates | Clinic/Center | 6545 Cermak Rd, Berwyn, IL 60402-2313 | 2006-07-18 |
| Street Address |
3059 W 26TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60623-4131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558449942 | Fran Bender | Nurse Practitioner | 3059 W 26th St, Chicago, IL 60623 | 2006-11-01 |
| 1972147270 | Jamie Leigh Caira | Occupational Therapist | 3059 W 26th St, Chicago, IL 60623-4131 | 2019-10-30 |
| 1184266595 | Kiara Eileen Rivera | Speech-Language Pathologist | 3059 W 26th St, Chicago, IL 60623-4131 | 2019-10-17 |
| 1972000545 | Pamela Forrest Baylor | Occupational Therapist | 3059 W 26th St, Chicago, IL 60623-4131 | 2018-04-10 |
| 1023513041 | Laboratory Corporation of America | Clinical Medical Laboratory | 3059 W 26th St, Chicago, IL 60623 | 2018-03-30 |
| 1750762886 | Nahiris Bahamon | Pediatrics | 3059 W 26th St, Chicago, IL 60623 | 2015-06-15 |
| 1144657313 | Mabel Munoz | Physical Therapy Assistant | 3059 W 26th St, Chicago, IL 60623-4131 | 2013-10-03 |
| 1962845214 | En-ling Wu | Internal Medicine | 3059 W 26th St, Chicago, IL 60623 | 2013-04-16 |
| 1609114412 | Lina Alsauskaite | Physical Therapist | 3059 W 26th St, Chicago, IL 60623-4131 | 2013-01-29 |
| 1477812030 | Esperanza Health Centers | Clinic/Center | 3059 W 26th St, Chicago, IL 60623-4131 | 2012-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629697917 | East Oaks Dialysis LLC | Clinic/Center | 2950 W 26th St, Chicago, IL 60623 | 2020-04-16 |
| 1922543917 | Montclare Senior Residences Slf of Lawndale LLC | Assisted Living Facility | 4339 West 18th Place, Chicago, IL 60623 | 2016-12-29 |
| 1679024376 | Athletico Ltd. | Physical Therapist | 2632 W. Pershing Rd., Chicago, IL 60623 | 2016-10-18 |
| 1245691211 | L A Jones Hair Restoration Center | Prosthetic/Orthotic Supplier | 1657 S. Troy, Chicago, IL 60623 | 2016-03-17 |
| 1982019204 | Sonrisa Dental Little Village 26th | Clinic/Center | 3059 S 26th St, Chicago, IL 60623 | 2014-06-25 |
| 1992055487 | Margaret C Johnson | Nurse Practitioner | 3860 W. Ogden Ave, Chicago, IL 60623 | 2012-09-12 |
| 1477851319 | Elizabeth Bauer | Physician Assistant | 3256 W 24th St, Chicago, IL 60623 | 2011-03-01 |
| 1023328390 | Rebecca Franco | Advanced Practice Midwife | 2875 W. 19th St, Chicago, IL 60623 | 2010-10-20 |
| 1447580899 | Candace Nicole Hutchen | Pharmacist | 3434 West 13th Place, Chicago, IL 60623 | 2010-01-07 |
| 1689801680 | Braceman P&o Inc. | Prosthetic/Orthotic Supplier | 2830 W. Cermak Rd., Chicago, IL 60623 | 2009-06-17 |
| Find all providers in zip 60623 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453236 | Dirsi, Inc | Clinic/Center | 2112 N Dayton St, Chicago, IL 60614-4302 | 2020-10-05 |
| 1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
| 1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
| 1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
| 1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
| 1649817768 | Rising Root Nutrition LLC | Clinic/Center | 2835 N Sheffield Ave Ste 511, Chicago, IL 60657-5081 | 2019-12-09 |
| 1487203642 | Jennifer Scherbauer | Clinic/Center | 4036 N Ashland Ave Apt 1w, Chicago, IL 60613-2534 | 2019-09-10 |
| 1194380147 | Colmed Clinic Ltd | Clinic/Center | 3615 N Ashland Ave Apt 1n, Chicago, IL 60613-4742 | 2019-05-06 |
| 1831662931 | Ova Institute LLC | Clinic/Center | 401 N Michigan Ave Ste 1800, Chicago, IL 60611-4225 | 2019-01-10 |
| 1972080992 | Family Care Sc | Clinic/Center | 2320 W Peterson Ave Fl 6, Chicago, IL 60659-5242 | 2018-07-23 |
| 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.