LORETTO HOSPITAL (NPI# 1376025304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376025304 |
| Entity Type | Organization |
| Organization Name | LORETTO HOSPITAL |
| Other Organization Name | LORETTO HOSPITAL AT SYMPHONY |
| Practice Address |
5130 W Jackson Blvd Chicago IL 60644-4332 |
| Mailing Address |
645 S Central Ave Business Office Chicago IL 60644 |
| Practice Telephone | 7736264300 |
| Mailing Telephone | 7738545066 |
| Mailing Fax Number | 7736267902 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |
| Authorized Official Name | CATHY WILLIAMS (DIRECTOR OF BUSINESS OFFICE) |
| Authorized Official Telephone | 7738545066 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Loretto Hospital at Symphony | Doing Business As Name - Organization |
| 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 |
| 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 |
| 1215395496 | Loretto Hospital | Substance Abuse Rehabilitation Facility | 645 S Central Ave, Chicago, IL 60644-5059 | 2016-02-03 |
| 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 |
5130 W JACKSON BLVD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60644-4332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740351972 | Jackson Corp | Durable Medical Equipment & Medical Supplies | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2006-11-10 |
| 1437708963 | Jessica Lake | Speech-Language Pathologist | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2019-09-07 |
| 1578941340 | Symphony Jackson Square LLC | Skilled Nursing Facility | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2015-05-13 |
| 1881006989 | Jennifer Burns | Occupational Therapist | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2014-05-22 |
| 1235554486 | Bryan De Rosas | Occupational Therapist | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2014-02-25 |
| 1740540848 | Emily R Gomeztagle | Speech-Language Pathologist | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2012-05-22 |
| 1356578900 | Jackson Square Skilled Nursing Aand Living | Durable Medical Equipment & Medical Supplies | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2009-06-22 |
| 1588816623 | Jackson Corp | Skilled Nursing Facility | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2008-10-21 |
| 1255592234 | Green Healthcare Ltd. | Nurse Practitioner | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2008-06-22 |
| 1831364132 | Loretto Hospital | Clinic/Center | 5130 W Jackson Blvd, Chicago, IL 60644-4332 | 2008-04-28 |
| 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 | 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). |
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| 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.