NPIMap

Organization Active NPI

Perpetual Help Medical Center, Inc.

  • Clinic/Center
  • Chicago, IL
National Provider Identifier
1255530796
Registry record updated Aug 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
58480681 Issued in IL
Legal business name
PERPETUAL HELP MEDICAL CENTER, INC.
Practice address
5524 N Broadway St
Chicago, IL 60640-1406
Phone
(773) 271-2350
Fax
(773) 271-8521
NPI assigned
Jul 14, 2007
Last updated
Aug 10, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2009

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

Authorized official

Name
Mrs. Yolanda E Belga, RN
Title
President
Phone
(773) 271-2350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 58480681 IL Primary

Addresses

Primary practice location

5524 N Broadway St
Chicago, IL 60640-1406

Mailing address

5524 N Broadway St
Chicago, IL 60640-1406
Phone (773) 271-2350

National Provider Directory

National Provider Directory

Locations

5524 N Broadway St
Chicago, IL 60640
Phone (773) 271-2350

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1184371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249862400000",
    "number": "1255530796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5524 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401406",
            "telephone_number": "773-271-2350",
            "fax_number": "773-271-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5524 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606401406",
            "telephone_number": "773-271-2350",
            "fax_number": "773-271-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERPETUAL HELP MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-14",
        "last_updated": "2009-08-10",
        "status": "A",
        "authorized_official_last_name": "BELGA",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-271-2350",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "58480681",
            "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 Aug 10, 2009; 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.