GOTTLIEB MEMORIAL HOSPITAL (NPI# 1225141104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225141104 |
| Entity Type | Organization |
| Organization Name | GOTTLIEB MEMORIAL HOSPITAL |
| Other Organization Name | GOTTLIEB HOSPICE PROGRAM |
| Practice Address |
701 West North Avenue Melrose Park IL 60160-1602 |
| Practice Telephone | 7082164983 |
| Practice Fax Number | 7082160808 |
| Mailing Telephone | 7086813200 |
| Mailing Fax Number | 7084505058 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2014-04-29 |
| Authorized Official Name | MR. AJAY S. SIAL (TREASURER) |
| Authorized Official Telephone | 7082164252 |
| Is Organization Subpart | Y |
| Parent Organization Name | GOTTLIEB MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | 0005561 | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS | 9559 | 01 |
| Other Name | Type Code |
|---|---|
| Gottlieb Hospice Program | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518070499 | Gottlieb Memorial Hospital | Home Health | 905 West North Avenue, Melrose Park, IL 60160-1602 | 2006-08-16 |
| 1831170232 | Gottlieb Memorial Hospital | General Acute Care Hospital | 701 W North Ave, Melrose Park, IL 60160-1612 | 2005-11-11 |
| 1063967958 | Gottlieb Memorial Hospital | Clinic/Center | 701 W North Ave, Melrose Park, IL 60160-1612 | 2016-08-20 |
| 1396109500 | Gottlieb Memorial Hospital | Rehabilitation Unit | 701 W North Ave, Melrose Park, IL 60160-1612 | 2016-04-13 |
| 1659473718 | Gottlieb Memorial Hospital | Durable Medical Equipment & Medical Supplies | 675 W North Ave, Melrose Park, IL 60160-1634 | 2006-09-01 |
| 1639271794 | Gottlieb Memorial Hospital | Psychiatric Unit | 701 W North Ave, Melrose Park, IL 60160-1612 | 2006-09-01 |
| 1366555245 | Gottlieb Memorial Hospital | Skilled Nursing Facility | 701 W North Ave, Melrose Park, IL 60160-1612 | 2006-08-16 |
| 1790898674 | Gottlieb Memorial Hospital | Dietitian, Registered | 701 W North Ave, Melrose Park, IL 60160-1612 | 2006-08-16 |
| Street Address |
701 WEST NORTH AVENUE |
| City | MELROSE PARK |
| State | IL |
| Zip Code | 60160-1602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013949841 | Pamela Sue Schwartz | Registered Nurse | 701 West North Avenue, Melrose Park, IL 60160-1612 | 2006-07-06 |
| 1356421192 | Rebecca Aureus | Anesthesiology | 701 West North Avenue, Melrose Park, IL 60160-1612 | 2006-10-16 |
| 1881601243 | Robert Molnar | Anesthesiology | 701 West North Avenue, Melrose Park, IL 60160-1612 | 2006-08-01 |
| 1003832767 | Gottlieb Midwest Anesthesiologists, LLC | Anesthesiology | 701 West North Avenue, Melrose Park, IL 60160-1612 | 2006-07-14 |
| 1467478123 | Midwest Commercial Medical LLC | Anesthesiology | 701 West North Avenue, Melrose Park, IL 60160-1612 | 2006-07-14 |
| 1982636734 | Pamela Ann Ekegren-piechocinski | Registered Nurse | 701 West North Avenue, Melrose Park, IL 60160-1612 | 2006-07-06 |
| 1063444891 | Renata Jene Sobey | Registered Nurse | 701 West North Avenue, Melrose Park, IL 60160-1612 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295217651 | Kairsten Thies | Registered Nurse | 1225 W. Lake St., Melrose Park, IL 60160 | 2018-09-02 |
| 1780195701 | Julia Mccann-khludenev | Nurse Practitioner | 153 1/2 Broadway Ave., Melrose Park, IL 60160 | 2017-10-17 |
| 1629595749 | Katarzyna Teresa Buksa | Speech-Language Pathologist | 906 Walton St., Melrose Park, IL 60160 | 2017-08-29 |
| 1972955102 | Erika Lazaro | Counselor | 1414 Main Street, Melrose Park, IL 60160 | 2016-07-12 |
| 1811344096 | Margaret Ann Kress | Nurse Practitioner | 675 W North Ave Ste 402, Melrose Park, IL 60160 | 2016-05-18 |
| 1942578703 | Rachna Shah Md Sc | Internal Medicine | 675 West North Ave, #310, Melrose Park, IL 60160 | 2011-12-08 |
| 1033486741 | Stephanie Lamonica | Pharmacist | 850 West North Ave, T0837, Melrose Park, IL 60160 | 2011-11-23 |
| 1285913384 | Melinda Vazquez | Social Worker | 1414 Main, Melrose Park, IL 60160 | 2011-08-08 |
| 1629373212 | Advanced Wellness Clinics | Internal Medicine | 1835 N Broadway Avenue, Suite 104, Melrose Park, IL 60160 | 2011-01-13 |
| 1508188525 | Guillermo Fernando Mora | Family Medicine | 1111 W Superior, Suite #306, Melrose Park, IL 60160 | 2010-02-17 |
| Find all providers in zip 60160 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659972727 | Moments Hospice of Chicago North LLC | Hospice Care, Community Based | 2860 S River Rd Ste 160, Des Plaines, IL 60018-6006 | 2020-11-05 |
| 1831790906 | Moments Hospice of Chicago South LLC | Hospice Care, Community Based | 545 Plainfield Rd Ste G-1, Willowbrook, IL 60527-7600 | 2020-11-05 |
| 1982204699 | Lighthouse Hospice Care LLC | Hospice Care, Community Based | 648 N River Rd Ste 100, Naperville, IL 60563-8968 | 2020-10-30 |
| 1740888510 | Family Paramount Hospice LLC | Hospice Care, Community Based | 800 W 5th Ave Ste 203b, Naperville, IL 60563-4931 | 2020-10-14 |
| 1669079141 | Spectrum Hospice and Palliative Care, Inc. | Hospice Care, Community Based | 2604 Dempster St Ste 205, Park Ridge, IL 60068-8426 | 2020-10-07 |
| 1073129045 | Abhishek Gulati | Hospice Care, Community Based | 10723 Dundee Rd, Huntley, IL 60142-9706 | 2020-09-16 |
| 1326653973 | Tranquility Hospice and Palliative Care Inc | Hospice Care, Community Based | 15255 S 94th Ave Ste 535, Orland Park, IL 60462-3800 | 2020-09-10 |
| 1407467509 | Shiloh Hospice & Palliative Care, LLC | Hospice Care, Community Based | 603 E 170th St, South Holland, IL 60473-3408 | 2020-08-12 |
| 1649892126 | Vital Care Hospice, LLC | Hospice Care, Community Based | 1400 Torrence Ave Ste 205, Calumet City, IL 60409-5550 | 2020-05-07 |
| 1174144463 | Five Star Hospice and Palliative Care LLC | Hospice Care, Community Based | 2500 W Higgins Rd Ste 1277, Hoffman Estates, IL 60169-2051 | 2020-04-28 |
| Find all providers with the same taxonomy | ||||
| City | MELROSE PARK |
| Zip Code | 60160 |
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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.