LORETTO HOSPITAL (NPI# 1215395496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215395496 |
| Entity Type | Organization |
| Organization Name | LORETTO HOSPITAL |
| Practice Address |
645 S Central Ave Chicago IL 60644-5059 |
| Practice Telephone | 7738545066 |
| Mailing Telephone | 7738545066 |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2019-01-24 |
| Authorized Official Name | CATHY WILLIAMS (DIRECTOR OF PFS) |
| Authorized Official Telephone | 7738545066 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment 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 |
| 1023342664 | Loretto Hospital | Clinic/Center | 645 S Central Ave, Chicago, IL 60644-5059 | 2009-09-30 |
| 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 | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063989143 | Northwest Recovery Center LLC | Substance Abuse Rehabilitation Facility | 5352 N Lincoln Ave Ste 250, Chicago, IL 60625-2316 | 2018-10-26 |
| 1982182671 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 2835 N Sheffield Ave Ste 209, Chicago, IL 60657-5083 | 2018-08-03 |
| 1619453610 | Head Heart Therapy | Substance Abuse Rehabilitation Facility | 4809 N Ravenswood Ave Unit 227, Chicago, IL 60640-4417 | 2018-07-13 |
| 1891296802 | The Ids Group Chicago | Substance Abuse Rehabilitation Facility | 1117 N Ashland Ave, Chicago, IL 60622-3986 | 2018-02-25 |
| 1548774961 | Prentice Place | Substance Abuse Rehabilitation Facility | 255 W 112th Pl, Chicago, IL 60628-4132 | 2017-11-21 |
| 1821537739 | Cornerstone Recovering Community | Substance Abuse Rehabilitation Facility | 28 W 113th Pl, Chicago, IL 60628-4811 | 2017-02-13 |
| 1538608443 | Cornerstone Recovering Community | Substance Abuse Rehabilitation Facility | 44 W 112th Pl, Chicago, IL 60628-4806 | 2017-02-13 |
| 1093254906 | Cornerstone Recovering Community | Substance Abuse Rehabilitation Facility | 139 W 112th St, Chicago, IL 60628-4803 | 2017-02-13 |
| 1083152359 | Cornerstone Recovering Community | Substance Abuse Rehabilitation Facility | 103 W 112th St, Chicago, IL 60628-4803 | 2017-02-07 |
| 1336529858 | Rosecrance Inc | Substance Abuse Rehabilitation Facility | 1556 W. Waveland Avenue, Chicago, IL 60613-3601 | 2015-06-01 |
| 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.