Christian Hospital Illinois Services

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

CHRISTIAN HOSPITAL ILLINOIS SERVICES

Doing business as

CH Diabetes Institute

Practice address

8 Sunset Hills Professional Ctr
Edwardsville, IL 62025-3760

Phone

(618) 659-8592

Fax

(618) 659-8687

NPI assigned

Sep 28, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. John N Katsianis Jr.

Title

Vice President Finance

Phone

(314) 653-5062

Specialties & licenses 1

Addresses

Other names 1

• CH Diabetes Institute Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Kathryn Preston, RD, LDN, CDE

  • Registered Dietitian
  • Edwardsville, IL
  • NPI 1255490280
  NPD (past)
• Shu Jane Yu, MS, RD, LDN, CDE

  • Registered Dietitian
  • Saint Louis, MO
  • NPI 1144382995
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023100195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SUNSET HILLS PROFESSIONAL CTR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253760",
            "telephone_number": "618-659-8592",
            "fax_number": "618-659-8687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SUNSET HILLS PROFESSIONAL CTR",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253760",
            "telephone_number": "618-659-8592",
            "fax_number": "618-659-8687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN HOSPITAL ILLINOIS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KATSIANIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "314-653-5062",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CH Diabetes Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chestnut Health Systems, Inc.
• Childrens Illinois Inc
• Chiro One Wellness Center of Edwardsville, LLC
• Chiropractic Care Center
• Amber N Cholevik
• Mickey Charles Christian
• Christina J. Levi O D P C (Edwardsville Vision Center)
• Christina J. Levi O D P C (Edwardsville Vision Center)
• Christina J. Levi O D P C (Eigenbrodt Vision Center)
• Kenechi Millicent Chukwuwike

• Medical Specialty Clinic/Center in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.