SWEDISH COVENANT HOSPITAL (NPI# 1740408186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740408186 |
| Entity Type | Organization |
| Organization Name | SWEDISH COVENANT HOSPITAL |
| Other Organization Name | ROOSEVELT HIGH SCHOOL CLINIC |
| Practice Address |
3436 W Wilson Ave Chicago IL 60625-5318 |
| Mailing Address |
5140 N California Ave Suite 635-645 Chicago IL 60625-3645 |
| Practice Telephone | 7735345000 |
| Mailing Telephone | 7732933223 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SELMA KULENOVIC (DIRECTOR OF FINANCE & BUSINESS PLAN) |
| Authorized Official Telephone | 7738788200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ROOSEVELT HIGH SCHOOL CLINIC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518168400 | Swedish Covenant Hospital | Internal Medicine | 5140 N California Ave, G400, Chicago, IL 60625-3645 | 2007-05-30 |
| 1609887850 | Swedish Covenant Hospital | Nurse Practitioner | 5145 N California Ave, Chicago, IL 60625-3661 | 2006-08-11 |
| 1922019520 | Swedish Covenant Hospital | Psychologist | 5145 N California Ave, Chicago, IL 60625-3661 | 2006-08-10 |
| 1720098239 | Swedish Covenant Hospital | Internal Medicine | 5145 N California Ave, Chicago, IL 60625-3661 | 2006-08-08 |
| 1679535637 | Swedish Covenant Hospital | Rehabilitation Unit | 5145 N California Ave, Chicago, IL 60625-3661 | 2006-04-05 |
| 1336101302 | Swedish Covenant Hospital | Psychiatric Unit | 5145 N California Ave, Chicago, IL 60625-3661 | 2006-04-05 |
| 1164484036 | Swedish Covenant Hospital | Skilled Nursing Facility | 5145 N California Ave, Chicago, IL 60625-3661 | 2006-04-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SWEDISH COVENANT HOSPITAL | 5145 N California Ave, Chicago, IL 60625-3661 |
| Street Address |
3436 W WILSON AVE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60625-5318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750916672 | Kayla Zelisko | Social Worker | 3436 W Wilson Ave, Chicago, IL 60625-5318 | 2020-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726615 | B Wise Rehabilitation Pllc | Physical Therapist | 4754 N Lincoln Ave, Fl 1, Chicago, IL 60625 | 2020-10-07 |
| 1700490448 | Anita Saini | Pharmacist | 5140 N California Ave, Chicago, Il 60625, Chicago, IL 60625 | 2020-09-01 |
| 1699303164 | Marina Karamanis | Student in an Organized Health Care Education/Training Program | Swedish Hospital, 5140 N. California Ave, Chicago, IL 60625 | 2020-03-31 |
| 1063050227 | Jacqueline Guadalupe Saldana | Behavioral Analyst | 8616 W Catalpa Ave, Suite 1106, Chicago, IL 60625 | 2019-12-18 |
| 1912557802 | Six Senses Therapy LLC | Social Worker | 2334 W. Lawrence Avenue, Suite 204c, Chicago, IL 60625 | 2019-09-13 |
| 1982266110 | Noreen Randhawa | Family Medicine | Swedish Hospital Part of North Shore, 5145 N. California Ave., Chicago, IL 60625 | 2019-07-09 |
| 1376102202 | Nita Gupta | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Department, 5145 N. California Ave, Chicago, IL 60625 | 2019-06-13 |
| 1841763471 | Alexandra Taskier | Counselor | 5359 N Bowmanville Ave., Chicago, IL 60625 | 2019-01-07 |
| 1013490143 | Paula Bielnicka | Pharmacist | Swedish Covenant Hospital - Pharmacy, 5140 N California Ave, Chicago, IL 60625 | 2018-09-14 |
| 1902397078 | Rebecca Abraham | Hospitalist | 5145 N California Ave Ofc M331, Chicago, IL 60625 | 2018-05-24 |
| Find all providers in zip 60625 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053822080 | Northestern Illinois University Student Health Services | Clinic/Center | 5500 N Saint Louis Ave Rm E-051, Chicago, IL 60625-4625 | 2017-10-17 |
| 1043630098 | Mcgaw Medical Center of Northwestern University | Clinic/Center | 240 E. Huron Street, Mcgaw Pavilion, Sutie 1-200, Chicago, IL 60611 | 2014-04-17 |
| 1407284664 | Pef Clinic II, Ltd. | Clinic/Center | 1955 E 75th St, Chicago, IL 60649-3688 | 2013-10-28 |
| 1508294091 | South Shore School of Leadership Health Center | Clinic/Center | 7627 S Constance Ave, Chicago, IL 60649-4009 | 2013-10-22 |
| 1043545007 | Circle Family Healthcare Network | Clinic/Center | 231 N Pine Ave, Chicago, IL 60644-2333 | 2009-10-08 |
| 1174765945 | Mclaren Oakland | Clinic/Center | 8172 Reliable Pkwy, Chicago, IL 60686-0001 | 2009-03-25 |
| 1194845495 | Cook County | Clinic/Center | 4859 S Wabash Ave, Chicago, IL 60615-1008 | 2007-03-30 |
| 1831219450 | Cook County | Clinic/Center | 231 N Pine Ave # 133b, Chicago, IL 60644-2333 | 2007-03-29 |
| 1972623528 | Cook County | Clinic/Center | 4934 S Wabash Ave Rm 165, Chicago, IL 60615-2136 | 2007-03-29 |
| 1609486794 | Mollie A Kopp | Clinic/Center | 1127 N Oakley Blvd Fl 3, Chicago, IL 60622-3507 | 2020-08-04 |
| 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.