NPIMap

Organization Active NPI

Marianjoy Rehabilitation Hospital & Clinics Inc.

  • Rehabilitation Hospital
  • Wheaton, IL
National Provider Identifier
1083660658
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
Legal business name
MARIANJOY REHABILITATION HOSPITAL & CLINICS INC.
Practice address
26W171 Roosevelt Rd
Wheaton, IL 60187-6078
Phone
(630) 909-8080
NPI assigned
May 25, 2006
Last updated
Mar 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Authorized official

Name
Ms. Anne E Hubling
Title
Vice President and Chief Executive
Phone
(630) 909-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital 283X00000X IL Primary

Addresses

Primary practice location

26W171 Roosevelt Rd
Wheaton, IL 60187-6078

Mailing address

26W171 Roosevelt Rd
Wheaton, IL 60187-6078
Phone (630) 909-7378

Other identifiers 3

IdentifierTypeStateIssuer
0007OtherILBLUE CROSS
815400OtherILWPS
02215325OtherILBLLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.cms.gov/research-statistics-data-systems/electronic-submission-medicaldocumentation-esmd/cms-health-information-handler Other CMS HIH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050705000107 IL Part A Provider - Hospital 6204827348 Practice locations: Wheaton, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083660658. Details of each certification follow.

Hospital certification: CCN 143027

Legal name
MARIANJOY REHABILITATION HOSPITAL & CLINICS INC
Doing business as
NORTHWESTERN MEDICINE MARIANJOY REHABILITATION HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Rehabilitation
Participating since
Jul 1, 1985
Last certification
Sep 14, 2001
Beds
113
Ownership / control type
Church
Organization structure
CorporationNon-profit
Incorporated
Sep 15, 1969 in IL
Enrollment address
26W171 Roosevelt Rd
Wheaton, IL 60187-6078
Other Hospital Practice Location
Hospital subgroups
Other

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Marianjoy Rehabilitation CenterCCN 143027 · All quality measures
Ownership
Non-profit
Certified
Jul 1, 1985
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

Dept 77 5602
Chicago, IL 60678

8950 Gross Point Rd
#D
Skokie, IL 60077
Phone (847) 967-5100

0N025 Winfield Rd
Winfield, IL 60190
Phone (630) 832-0050

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michael J Mullen Individual W-2 Managing EmployeeVP Hospital Revenue Cycle Jul 19, 2022
Daniel a Bunnell Individual Corporate Director Jun 25, 2025
Larissa R Pavone Individual Corporate DirectorDirector May 13, 2024
Silpa Katta Individual Corporate DirectorDirector Sep 16, 2023
Northwestern Memorial Healthcare Organization, Chicago, IL Created for acquisition, Corporation, Holding company, Non-profit 5% Or Greater Direct Ownership Interest Sep 1, 2017 100%
Kevin Poorten Individual Corporate Director Jun 25, 2025
Anne Hubling Individual Corporate DirectorVice President and Chief Nurse Exec Mar 22, 2022

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 13

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 13

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 5

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.

Affiliated clinicians 202

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 202

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1083660658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26W171 ROOSEVELT RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601876078",
            "telephone_number": "630-909-7378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26W171 ROOSEVELT RD",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601876078",
            "telephone_number": "630-909-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANJOY REHABILITATION HOSPITAL & CLINICS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "HUBLING",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT AND CHIEF EXECUTIVE",
        "authorized_official_telephone_number": "630-909-8000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0007",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPS",
            "identifier": "815400",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLLUE SHIELD",
            "identifier": "02215325",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medicaldocumentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "CMS HIH",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "7500 Security Blvd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212441849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

Verify at the official NPI Registry.