MERCY HOSPITAL AND MEDICAL CENTER (NPI# 1316353147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316353147 |
| Entity Type | Organization |
| Organization Name | MERCY HOSPITAL AND MEDICAL CENTER |
| Other Organization Name | MERCY CLINIC PHARMACY AT PULASKI |
| Practice Address |
5525 S Pulaski Rd Chicago IL 60629-4400 |
| Practice Telephone | 7734320100 |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2014-07-01 |
| Authorized Official Name | STEVE SILVERSTEIN (PHARMACY HEALTH SYSTEM DIRECTOR) |
| Authorized Official Telephone | 3125672489 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 054.018056 | IL | Suppliers |
| Other Name | Type Code |
|---|---|
| Mercy Clinic Pharmacy at Pulaski | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750728895 | Mercy Hospital and Medical Center | General Acute Care Hospital | 2525 South Michigan Avenue, Chicago, IL 60616 | 2013-05-30 |
| 1134417983 | Mercy Hospital and Medical Center | General Acute Care Hospital | 1212 S Michigan Ave, Unit 2502, Chicago, IL 60605-2416 | 2011-07-14 |
| 1184934135 | Mercy Hospital and Medical Center | General Acute Care Hospital | 2525 South Michigan Ave, Mercy Hospital and Medical Center, Chicago, IL 60616 | 2010-10-08 |
| 1750699047 | Mercy Hospital and Medical Center | General Acute Care Hospital | 1s158 Danby St, Villa Park, IL 60181-3611 | 2010-09-20 |
| 1609180199 | Mercy Hospital and Medical Center | General Acute Care Hospital | 351 E 25th Pl Unit 3, Chicago, IL 60616-5501 | 2010-07-27 |
| 1982908455 | Mercy Hospital and Medical Center | General Acute Care Hospital | 2525 S Michigan Ave, 2-463, Chicago, IL 60616-2333 | 2010-12-27 |
| 1366743163 | Mercy Hospital and Medical Center | General Acute Care Hospital | 2525 S Michigan Ave, Chicago, IL 60616-2333 | 2010-11-10 |
| 1417117185 | Mercy Hospital and Medical Center | General Acute Care Hospital | 2525 S Michigan Ave, Chicago, IL 60616-2333 | 2008-06-16 |
| 1447260542 | Mercy Hospital and Medical Center | Pharmacy | 2525 S Michigan Ave, Op Pharmacy / 1st Flr, Chicago, IL 60616-2333 | 2006-08-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MERCY HOSPITAL AND MEDICAL CENTER | 2525 S Michigan Ave, Chicago, IL 60616-2315 |
| Street Address |
5525 S PULASKI RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60629-4400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932108545 | Andree C. De Bustros | Internal Medicine | 5525 S Pulaski Rd, Chicago, IL 60629 | 2005-07-15 |
| 1588052369 | Anne Marie Orzechowski | Nurse Practitioner | 5525 S Pulaski Rd, Chicago, IL 60629-4400 | 2015-01-02 |
| 1427483924 | Ashley Ferrell | Physical Therapist | 5525 S Pulaski Rd, Chicago, IL 60629-4400 | 2013-09-04 |
| 1487094942 | Ecola Jackson | Pharmacy Technician | 5525 S Pulaski Rd, Chicago, IL 60629-4400 | 2013-06-28 |
| 1740620129 | Damaris Melendez | Pharmacy Technician | 5525 S Pulaski Rd, Chicago, IL 60629-4400 | 2013-06-28 |
| 1356694871 | Mercy Hospital & Medical Center | Pharmacy | 5525 S Pulaski Rd, Chicago, IL 60629-4417 | 2012-10-22 |
| 1134422413 | Kelly Anderson | Pharmacist | 5525 S Pulaski Rd, Chicago, IL 60629-4400 | 2010-12-08 |
| 1053541318 | Erin M Jamen | Pediatrics | 5525 S Pulaski Rd, Chicago, IL 60629-4400 | 2009-07-21 |
| 1689830077 | Jennifer Perez | Pediatrics | 5525 S Pulaski Rd, Suite 24oo, Chicago, IL 60629-4417 | 2008-08-05 |
| 1932373107 | Mp Pediatrics | Pediatrics | 5525 S Pulaski Rd, Suite 2400, Chicago, IL 60629-4417 | 2008-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946392 | T & M Care LLC | In Home Supportive Care | 7230 S Talman, Apt 4, Chicago, IL 60629 | 2020-03-06 |
| 1841847811 | Jacqueline Ann Milton | Technician | 6720 South Keating, Chicago, IL 60629 | 2019-08-23 |
| 1194202085 | Andrea Mosqueda | Counselor | 4217 W 59th St, Chicago, IL 60629 | 2018-07-23 |
| 1316439235 | Saliha Awais | Dentist | 5521 S. Kedzie Ave. Suite 105, Chicago, IL 60629 | 2018-06-06 |
| 1356833255 | Irfana Ilyas | Dentist | 2403,5521 S Kedzie Ave, Suite 105, Chicago, IL 60629 | 2018-06-06 |
| 1427547538 | Holy Cross Hospital | Psychiatric Unit | 2701 West 68th Street, Chicago, IL 60629 | 2018-05-03 |
| 1871003715 | Siddhi Vinayak Dental | Clinic/Center | 5521 S Kedzie Ave, Unit 105, Chicago, IL 60629 | 2017-10-05 |
| 1477092328 | Debra Shepard | Social Worker | 2601 W. Marquette Rd., Catholic Charities, Chicago, IL 60629 | 2017-02-13 |
| 1255777108 | Jacquelyn Jones | Developmental Therapist | 3108 West Marquette Road Apartment 1-b, Chicago, IL 60629 | 2013-05-20 |
| 1124368030 | Claudia Ballesteros | Interpreter | 5631 S. Richmond, Chicago, IL 60629 | 2013-03-01 |
| Find all providers in zip 60629 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003415514 | Brandon M Hudson | Durable Medical Equipment & Medical Supplies | 185 N Franklin St Fl 3, Chicago, IL 60606-1932 | 2020-10-26 |
| 1295348084 | Windy City Rehab Specialists LLC | Durable Medical Equipment & Medical Supplies | 1530 S State St Ste C003, Chicago, IL 60605-2964 | 2020-08-31 |
| 1972116499 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 4631 W Foster Ave, Chicago, IL 60630 | 2020-08-25 |
| 1558974071 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 555 W Webster Ave, Chicago, IL 60614-7610 | 2020-08-25 |
| 1689286759 | Tia Strong | Durable Medical Equipment & Medical Supplies | 9413 S Vernon Ave, Chicago, IL 60619-7407 | 2020-08-20 |
| 1174134977 | Home Health Connector, LLC | Durable Medical Equipment & Medical Supplies | 1514 W 87th St Ste 2, Chicago, IL 60620-4819 | 2020-08-14 |
| 1013527092 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 433 W Van Buren St Ste 150, Chicago, IL 60607-0433 | 2020-08-05 |
| 1508475732 | Lakepointe Spine, Inc. | Durable Medical Equipment & Medical Supplies | 3452 N Damen Ave, Chicago, IL 60618-6106 | 2020-07-23 |
| 1578184370 | Tulsa Medical Supply & Logistics Inc | Durable Medical Equipment & Medical Supplies | 1657 S Troy St Apt 1, Chicago, IL 60623-2332 | 2020-05-03 |
| 1063031177 | Nicholas Achtien | Durable Medical Equipment & Medical Supplies | 833 N Clark St Unit 1804, Chicago, IL 60610-3419 | 2020-04-09 |
| 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.