NPIMap

Organization Active NPI

Saint Joseph Hospital

  • General Acute Care Hospital
  • Chicago, IL
National Provider Identifier
1053612275
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
125058676 Issued in IL
Legal business name
SAINT JOSEPH HOSPITAL
Practice address
2900 N. Lakeshore
Chicago, IL 60614
Phone
(773) 665-3000
NPI assigned
Nov 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Authorized official

Name
Ahmad Alwakkaf
Title
MD
Phone
(773) 715-1934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 125058676 IL Primary

Addresses

Primary practice location

2900 N. Lakeshore
Chicago, IL 60614

Mailing address

2828 N Cambridge Ave Apt 406
Chicago, IL 60657-6051
Phone (773) 715-1934

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1053612275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 N CAMBRIDGE AVE APT 406",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606576051",
            "telephone_number": "773-715-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N. LAKESHORE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60614",
            "telephone_number": "773-665-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT JOSEPH HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "ALWAKKAF",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "773-715-1934"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "125058676",
            "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 Nov 4, 2010; 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.