JACKSON PARK HOSPITAL FOUNDATION


Address: 7531 S Stony Island Ave, Chicago, IL 60649-3954
Phone: 7739477500

JACKSON PARK HOSPITAL FOUNDATION (NPI# 1396250304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396250304
Entity Type Organization
Organization Name JACKSON PARK HOSPITAL FOUNDATION
Other Organization Name PSYCHIATRIC UNIT
Practice Address 7531 S Stony Island Ave
Chicago
IL 60649-3954
Practice Telephone 7739477500
Mailing Telephone 7739477500
Enumeration Date 2017-12-13
Last Update Date 2020-01-28
Authorized Official Name MR. BARRY R MANDELL (VP OF SPECIAL PROJECTS)
Authorized Official Telephone 7739477701
Is Organization Subpart Y
Parent Organization Name JACKSON PARK HOSPITAL FOUNDATION

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 273R00000X Psychiatric Unit 0001115 IL Hospital Units

Other Provider/Organization Names

Other Name Type Code
Psychiatric Unit Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1497750699 Jackson Park Hospital Foundation Psychiatric Unit 7531 S Stony Island Ave, Chicago, IL 60649-3954 2005-06-15

Office Location

Street Address 7531 S STONY ISLAND AVE
City CHICAGO
State IL
Zip Code 60649-3954

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497750699 Jackson Park Hospital Foundation Psychiatric Unit 7531 S Stony Island Ave, Chicago, IL 60649-3954 2005-06-15
1760089718 Chicago Pain Medicine Center Durable Medical Equipment & Medical Supplies 7531 S Stony Island Ave, Chicago, IL 60649-3954 2020-10-02
1093332561 Lubna Hashmi Student in an Organized Health Care Education/Training Program 7531 S Stony Island Ave, Chicago, IL 60649-3954 2020-07-01
1144847963 Anuja Trivedi Family Medicine 7531 S Stony Island Ave, Chicago, IL 60649-3954 2020-06-27
1487279824 Nsisongikanabasi Mfon Udoh Student in an Organized Health Care Education/Training Program 7531 S Stony Island Ave, Chicago, IL 60649-3954 2020-06-11
1689212581 Great Lakes Emergency Physicians Medical Group Sc Emergency Medicine 7531 S Stony Island Ave, Chicago, IL 60649-3954 2019-12-11
1205496551 Mosleh Uddin Ahmed Family Medicine 7531 S Stony Island Ave, Chicago, IL 60649-3993 2019-06-19
1982264230 Alina Haider Family Medicine 7531 S Stony Island Ave, Chicago, IL 60649-3993 2019-06-18
1720648074 Madiha Batool Khan Family Medicine 7531 S Stony Island Ave, Chicago, IL 60649-3993 2019-06-18
1548820228 Aung Naing Min Family Medicine 7531 S Stony Island Ave, Chicago, IL 60649-3954 2019-06-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386250199 A Safe Haven, L.L.C. Clinic/Center 7342-46 S Kingston, Chicago, IL 60649 2020-09-17
1477178713 Angela K Coleman Counselor 1955 E 71st Street, Chicago, IL 60649 2020-06-12
1245880715 Familydoc Urgent Care LLC Clinic/Center 7201 S Stony Island Ave, Chicago, IL 60649 2019-09-17
1912498668 Venessel N/a Woodson I Radiology 7674 S. Southshore Dr #1n, Chicago, IL 60649 2018-05-29
1689117764 Susana Jimenez Occupational Therapy Assistant 2649 E. 75th St, Chicago, IL 60649 2016-11-22
1063863579 Regina Whittmon Driver 7808 S Coles Ave Apt 3, Chicago, IL 60649 2016-06-27
1174912356 Montsho Gallardo Doula 7653 S Coles Ave, Chicago, IL 60649 2015-01-12
1780922120 April Ong Physical Therapist 6700 S Oglesby Ave, Apt 1906, Chicago, IL 60649 2013-01-18
1114288594 Days Adult Day Care and Personal Care Providers Inc Clinic/Center 2455 E 75th St, Chicago, IL 60649 2012-06-02
1891064887 Kevin Forrest Occupational Therapist 2425 E. 71st Street, Chicago, IL 60649 2011-12-20
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Taxonomy Information

Taxonomy Code 273R00000X
Grouping Hospital Units
Classification Psychiatric Unit

Taxonomy Definition

In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639657414 Advocate North Side Health Network Psychiatric Unit 836 W Wellington Ave., Chicago, IL 60657 2018-08-02
1427547538 Holy Cross Hospital Psychiatric Unit 2701 West 68th Street, Chicago, IL 60629 2018-05-03
1669704326 Isaac Ray Center At Cermak Psychiatric Unit 3159 N Seminary #301, Chicago, IL 60657 2010-02-05
1316115223 394567 D North Psychiatric Unit 4200 North Oak Park Ave, Chicago, IL 60634-1417 2008-02-13
1508034414 395061 Med Eval Psychiatric Unit 4200 North Oak Park Avenue, Chicago, IL 60634-1417 2008-02-13
1871678334 Kindred Thc Chicago, LLC Psychiatric Unit 2544 W Montrose Ave, Chicago, IL 60618 2006-10-25
1538114392 Bhc Streamwood Management Services LLC Psychiatric Unit 2233 W Division 15th Floor, Chicago, IL 60622 2006-05-23
1972594877 Norwegian American Hospital Incorporated Psychiatric Unit 1044 North Francisco, Chicago, IL 60622 2005-10-31
1497750699 Jackson Park Hospital Foundation Psychiatric Unit 7531 S Stony Island Ave, Chicago, IL 60649-3954 2005-06-15
1912473927 Pipeline - Weiss Memorial Hospital, LLC Psychiatric Unit 4646 N Marine Dr, Chicago, IL 60640-5759 2018-10-17
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Competitor

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City CHICAGO
Zip Code 60649

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Dataset Information

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.

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