Mercy Care Center

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

MERCY CARE CENTER

Practice address

3753 S Cottage Grove Ave
Chicago, IL 60653-1662

Phone

(312) 567-2092

NPI assigned

Jul 15, 2021

Organization subpart

No

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

Authorized official

Name

Daisy Rodriguez

Title

Executive Director

Phone

(773) 451-0465

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Mercy Care Center

  • Urgent Care Clinic/Center
  • Chicago, IL
  • NPI 1063084366

  3577956853

  Same PAC ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven M. Nydick, M.D.

  • Diagnostic Radiology Physician
  • Gurnee, IL
  • NPI 1144267162
  NPD

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1144892423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3753 S COTTAGE GROVE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606531662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3753 S COTTAGE GROVE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606531662",
            "telephone_number": "312-567-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-15",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "DAISY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "773-451-0465"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loren Mercola, LCSW
• Monica Mercon Tezolin Barros Almeida, M.D.
• Catherine Mercurio
• Maria Paulette Mercurio, MD
• Mercy Care Center
• Mercy Care Center
• Mercy Circle
• Mercy Community Pharmacy at Oakwood Shores
• Mercy Diagnostic and Treatment Center
• Mercy Dunbar Health Center

• Radiology Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Radiology Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.