WEISS MEMORIAL HOSPITAL (NPI# 1598010456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598010456 |
| Entity Type | Organization |
| Organization Name | WEISS MEMORIAL HOSPITAL |
| Practice Address |
4646 N Marine Dr Chicago IL 60640-5759 |
| Mailing Address |
4600 N Clarendon Ave Apt.1011 Chicago IL 60640-5710 |
| Practice Telephone | 5713094490 |
| Mailing Telephone | 5713094490 |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |
| Authorized Official Name | DR. LOGHMAN HUSEYNOV (PHYSICIAN) |
| Authorized Official Telephone | 5713094490 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 281P00000X | Chronic Disease Hospital | 125.061167 | IL | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336364975 | Weiss Memorial Hospital | General Acute Care Hospital | 9627 S La Salle St, Chicago, IL 60628-1329 | 2007-04-17 |
| 1518222017 | Weiss Memorial Hospital | Internal Medicine | 4646 N Marine Dr, Suite 7100, Chicago, IL 60640-5759 | 2012-07-10 |
| 1356601751 | Weiss Memorial Hospital | General Acute Care Hospital | 655 Rockland Rd, Ste 211, Lake Bluff, IL 60044-1782 | 2012-05-21 |
| 1033497110 | Weiss Memorial Hospital | Chronic Disease Hospital | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2011-07-24 |
| 1023316304 | Weiss Memorial Hospital | General Acute Care Hospital | 4600 N Clarendon Ave, Apt 1006, Chicago, IL 60640-5710 | 2011-03-10 |
| 1275863904 | Weiss Memorial Hospital | General Acute Care Hospital | 4600 N Clarendon Ave, The Covington, Chicago, IL 60640-5710 | 2009-12-31 |
| 1346325875 | Weiss Memorial Hospital | General Acute Care Hospital | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2006-10-25 |
| Street Address |
4646 N MARINE DR |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-5759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407850969 | Peter A Hancock | Podiatrist | 4646 N Marine Dr, Ste C-6500, Chicago, IL 60640-5759 | 2005-06-11 |
| 1881200368 | Chandan Singh Sapkota | Internal Medicine | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2020-09-19 |
| 1538771316 | Ayesha Saleem | Student in an Organized Health Care Education/Training Program | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2020-08-21 |
| 1831701978 | Allina Ghimire | Internal Medicine | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2020-08-19 |
| 1154932291 | Ayomide Ireti Sotomi-foluso | Internal Medicine | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2020-08-12 |
| 1427669860 | Yadana Oo | Internal Medicine | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2020-08-10 |
| 1467062190 | Seyma Eroglu | Internal Medicine | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2020-08-07 |
| 1003426743 | Carlos Andres Rueda Mantilla | Internal Medicine | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2020-08-07 |
| 1609486968 | Ahmet Ersin Yassa | Internal Medicine | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2020-08-03 |
| 1861000630 | Mustafa Ali Samejo | Internal Medicine | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2020-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| Taxonomy Code | 281P00000X |
| Grouping | Hospitals |
| Classification | Chronic Disease Hospital |
| (1) A hospital including a physical plant and personnel that provides multidisciplinary diagnosis and treatment for diseases that have one or more of the following characteristics: is permanent; leaves residual disability; is caused by nonreversible pathological alteration; requires special training of the patient for rehabilitation; and/or may be expected to require a long period of supervision or care. In addition, patients require the safety, security, and shelter of these specialized inpatient or partial hospitalization settings. (2) A hospital that provides medical and skilled nursing services to patients with long-term illnesses who are not in an acute phase but who require an intensity of services not available in nursing homes. |
| Notes: Source: (1) Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538615836 | University of Illinois Hospital | Chronic Disease Hospital | 1463 W Winnemac Ave, Unit 2e, Chicago, IL 60640 | 2016-08-28 |
| 1740568518 | Rush University Medical Center | Chronic Disease Hospital | 600 S Paulina St, Suite 527, Chicago, IL 60612-3806 | 2011-07-28 |
| 1033497110 | Weiss Memorial Hospital | Chronic Disease Hospital | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2011-07-24 |
| 1417265612 | University of Chicago | Chronic Disease Hospital | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2010-09-22 |
| 1861707846 | University of Chicago | Chronic Disease Hospital | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2010-08-13 |
| 1568777852 | John H Stroger Hospital | Chronic Disease Hospital | 627 S Wood St, Rm 832a, Chicago, IL 60612-3821 | 2010-08-11 |
| 1831401520 | University of Chicago Medical Center | Chronic Disease Hospital | 5841 S Maryland Ave, Mc 4028, Chicago, IL 60637-1447 | 2010-07-09 |
| 1881855773 | Saint Joseph Hospital | Chronic Disease Hospital | 2900 N Lake Shore Drive, Chicago, IL 60657 | 2008-06-23 |
| 1104922533 | Jesse Brown Va | Chronic Disease Hospital | 820 S Damen Ave, Chicago, IL 60612-3728 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801428701 | Ingalls Dialysis Center | Chronic Disease Hospital | 2930 Montvale Dr Ste B, Springfield, IL 62704-5376 | 2020-02-08 |
| 1124344874 | Rosalind Franklin University At Chicagomedical School | Chronic Disease Hospital | 113 W Arden Ln, Round Lake, IL 60073-5658 | 2010-04-19 |
| 1235269937 | Andres Cornejo | Chronic Disease Hospital | 215 N Forest Ave, Mt Prospect, IL 60056-2303 | 2007-03-06 |
| 1821346354 | Loyola University Medical Center | Chronic Disease Hospital | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2012-08-15 |
| 1396006524 | Elmhurst Memorial Healthcare | Chronic Disease Hospital | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2012-06-05 |
| 1215251566 | Sten V Cantwell | Chronic Disease Hospital | 1401 E State St, Rockford, IL 61104-2315 | 2010-03-16 |
| 1982853255 | Uic | Chronic Disease Hospital | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2008-09-11 |
| 1306822200 | Memorial Medical Center | Chronic Disease Hospital | 701 N 1st St, Mab 528, Springfield, IL 62781-0001 | 2005-12-22 |
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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.