NPIMap

Organization Active NPI

Westside Community Hospital

Doing business as Sacred Heart Hospital

  • Anesthesiology Physician
  • Chicago, IL
National Provider Identifier
1073627550
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
WESTSIDE COMMUNITY HOSPITAL
Doing business as
Sacred Heart Hospital
Practice address
3240 W Franklin Blvd
Chicago, IL 60624-1511
Phone
(773) 722-5535
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Edward Lorgeree
Title
Manager
Phone
(773) 722-5535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

3240 W Franklin Blvd
Chicago, IL 60624-1511

Mailing address

3240 W Franklin Blvd
Chicago, IL 60624-1511
Phone (773) 722-5535

Other identifiers 1

IdentifierTypeStateIssuer
DA0424OtherILPALMETTO GBA

Other names 1

  • SACRED HEART HOSPITAL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sacred Heart Hospital3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1073627550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3240 W FRANKLIN BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606241511",
            "telephone_number": "773-722-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3240 W FRANKLIN BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606241511",
            "telephone_number": "773-722-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "LORGEREE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-722-5535"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "DA0424",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SACRED HEART HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 25, 2008; 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.