NPIMap

Organization Active NPI

Alexian Brothers Medical Center

  • General Acute Care Hospital
  • Elk Grove Village, IL
National Provider Identifier
1265577191
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
ALEXIAN BROTHERS MEDICAL CENTER
Practice address
800 Biesterfield Rd
Elk Grove Village, IL 60007-3311
Phone
(847) 437-5500
NPI assigned
Feb 20, 2007
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Lisa Neuman
Title
Vice President, Finance
Phone
(847) 437-5500

Specialties & licenses 1

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

Addresses

Primary practice location

800 Biesterfield Rd
Elk Grove Village, IL 60007-3311

Mailing address

800 Biesterfield Rd
Elk Grove Village, IL 60007-3311

Other identifiers 2

IdentifierTypeStateIssuer
130748200OtherFED WORKERS COMPENSATION
368OtherBLUE CROSS BLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.mettles.com/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031023000004 IL Part A Provider - Hospital 7315859170 Practice locations: Elk Grove Village, IL; Hoffman Estates, IL; Addison, IL; Palatine, IL
O20210825001664 IL Part B Supplier - Mass Immunization (Roster Biller Only) 7315859170 Practice locations: Elk Grove Village, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265577191. Details of each certification follow.

Hospital certification: CCN 140258

Legal name
ALEXIAN BROTHERS MEDICAL CENTER
Doing business as
ALEXIAN BROTHERS MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 25, 2019
Beds
483
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
800 Biesterfield Rd
Elk Grove Village, IL 60007-3361
Main/Primary Hospital Location
Hospital subgroups
Acute care, Psychiatric unit, Rehabilitation unit, Other

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Alexian Brothers Medical Center 1CCN 140258 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

701 Biesterfield Rd
Ste A
Elk Grove Village, IL 60007
Phone (224) 273-5060

810 Biesterfield Rd
Ste G9
Elk Grove Village, IL 60007
Phone (847) 364-6724

901 Martha St
Elk Grove Village, IL 60007
Phone (630) 323-3510

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Eric Zornow Individual Corporate OfficerCfo Feb 17, 2025
W-2 Managing EmployeeCfo Feb 17, 2025
Alexian Brothers Health System Organization, Chicago, IL Corporation, Non-profit, Chain home office Operational/Managerial Control Jan 11, 2008
Legary N Vaselopulos Individual Corporate Director Dec 9, 2018
W-2 Managing EmployeeDirector, Net Revenue Dec 9, 2018
Ascension Health Organization, Saint Louis, MO Corporation, Non-profit Operational/Managerial Control Apr 1, 2022
Polly Davenport Individual Corporate Officer Apr 1, 2022

Facilities with the same owner 157

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 157

Practitioners & affiliated clinicians

Practitioners 8

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.

Affiliated clinicians 842

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 842

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1265577191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073311",
            "telephone_number": "847-437-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXIAN BROTHERS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "NEUMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "VICE PRESIDENT, FINANCE",
        "authorized_official_telephone_number": "847-437-5500"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED WORKERS COMPENSATION",
            "identifier": "130748200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "368",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

Verify at the official NPI Registry.