St James Hospital United States Catholic Conference

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

ST JAMES HOSPITAL UNITED STATES CATHOLIC CONFERENCE

Practice address

17859 80TH Ave
Tinley Park, IL 60477-5023

Phone

(708) 709-9600

NPI assigned

Jul 23, 2010

Organization subpart

No

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

Authorized official

Name

Thomas Senesac

Title

Director

Phone

(708) 756-1000

Specialties & licenses 1

Addresses

Other names 1

• St James Hospital and Health Centers Doing business as

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1093028680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 SIERRA DR",
            "address_2": "SUITE 400",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461437240",
            "telephone_number": "317-528-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17859 80TH AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604775023",
            "telephone_number": "708-709-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JAMES HOSPITAL UNITED STATES CATHOLIC CONFERENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-23",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "SENESAC",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-756-1000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St James Hospital and Health Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Tinley Park, IL
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.

Verify at the official NPI Registry.