NPIMap

Organization Active NPI

Saint Mary and Elizabeth Hospital

  • General Acute Care Hospital
  • Chicago, IL
National Provider Identifier
1083929640
Registry record updated Aug 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
125058811 Issued in IL
Legal business name
SAINT MARY AND ELIZABETH HOSPITAL
Practice address
1127 N Oakley Blvd
Chicago, IL 60622-3507
Phone
(312) 770-2040
NPI assigned
Aug 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2010

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

Authorized official

Name
Dr. Sophia Zamudio Rasof, M.D.
Title
Family Medicine Resident
Phone
(847) 226-0821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 125058811 IL Primary

Addresses

Primary practice location

1127 N Oakley Blvd
Chicago, IL 60622-3507

Mailing address

1404 Hackberry Rd
Deerfield, IL 60015-4021
Phone (847) 236-0045

Other identifiers 1

IdentifierTypeStateIssuer
125058811OtherILILLINOIS TEMPORARY PHYSICIAN LICENSE

Other names 1

  • RHS Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1281139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281139200000",
    "number": "1083929640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 HACKBERRY RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154021",
            "telephone_number": "847-236-0045",
            "fax_number": "847-236-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 N OAKLEY BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223507",
            "telephone_number": "312-770-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MARY AND ELIZABETH HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-07",
        "last_updated": "2010-08-07",
        "status": "A",
        "authorized_official_last_name": "ZAMUDIO RASOF",
        "authorized_official_first_name": "SOPHIA",
        "authorized_official_title_or_position": "FAMILY MEDICINE RESIDENT",
        "authorized_official_telephone_number": "847-226-0821",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "125058811",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS TEMPORARY PHYSICIAN LICENSE",
            "identifier": "125058811",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RHS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 7, 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.