Active NPI
Weiss Memorial Hospital
- Chronic Disease Hospital
- Chicago, IL
National Provider Identifier
1033497110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chronic Disease Hospital
- Legal business name
- WEISS MEMORIAL HOSPITAL
- Practice address
- 4646 N Marine Dr
Chicago, IL 60640-5759 - Phone
- (312) 622-7977
- NPI assigned
- Jul 24, 2011
- Last updated
- Jul 24, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- La Shawna Williams, MD
- Title
- Intern Resident
- Phone
- (312) 622-7977
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chronic Disease Hospital | 281P00000X | NU | Primary |
Addresses
Primary practice location
4646 N Marine Dr
Chicago, IL 60640-5759
Mailing address
4646 N Marine Dr
Chicago, IL 60640-5759
Phone (312) 622-7977
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311465600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1311465600000",
"number": "1033497110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4646 N MARINE DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405759",
"telephone_number": "312-622-7977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4646 N MARINE DR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606405759",
"telephone_number": "312-622-7977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEISS MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-24",
"last_updated": "2011-07-24",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "LA SHAWNA",
"authorized_official_title_or_position": "INTERN RESIDENT",
"authorized_official_telephone_number": "312-622-7977",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "281P00000X",
"taxonomy_group": "",
"desc": "Chronic Disease Hospital",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.