NPIMap

Organization Active NPI

Misericordia Home

  • Dental Clinic/Center
  • Chicago, IL
National Provider Identifier
1093350134
Registry record updated Nov 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MISERICORDIA HOME
Practice address
6300 N Ridge Ave
Chicago, IL 60660-1017
Phone
(773) 973-6300
NPI assigned
Nov 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2019

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

Authorized official

Name
Mr. Steve Schueth
Title
Controller
Phone
(773) 273-4191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

6300 N Ridge Ave
Chicago, IL 60660-1017

Mailing address

6300 N Ridge Ave
Chicago, IL 60660-1017
Phone (773) 973-6300

National Provider Directory

National Provider Directory
Tax ID family
Misericordia Home31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1093350134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 N RIDGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601017",
            "telephone_number": "773-973-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 N RIDGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601017",
            "telephone_number": "773-973-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISERICORDIA HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "SCHUETH",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "773-273-4191",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "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 13, 2019; 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.