NPIMap

Organization Active NPI

Sherman Hospital

  • Skilled Nursing Facility
  • Elgin, IL
National Provider Identifier
1275584302
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
002162 Issued in IL
Legal business name
SHERMAN HOSPITAL
Practice address
934 Center St
Elgin, IL 60120-2125
Phone
(847) 742-9800
NPI assigned
May 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Eric Richard Krueger
Title
Vice President of Finance/Cfo
Phone
(847) 429-8718

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 002162 IL Primary

Addresses

Primary practice location

934 Center St
Elgin, IL 60120-2125

Mailing address

934 Center St
Elgin, IL 60120-2125
Phone (847) 742-9800

Other identifiers 1

IdentifierTypeStateIssuer
1140OtherILBLUE CROSS TCC

Other names 1

  • Sherman Hospital Transitional Care Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060509000298 IL Part A Provider - Hospital 0648171934 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Algonquin, IL; Elgin, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1275584302. Details of each certification follow.

Hospital certification: CCN 140030

Legal name
ADVOCATE SHERMAN HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Apr 5, 2006
Beds
255
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
1425 N Randall Rd
Elgin, IL 60123-2300
Main/Primary Hospital Location
Hospital subgroups
General

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Advocate Sherman HospitalCCN 140030 · All quality measures
Overall star rating
4 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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

35134 Eagle Way
Chicago, IL 60678

Ownership & related parties

All disclosed owners & managing parties 34

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

NameRoleSinceShare
Cynthia Maldonado Individual Corporate Director Jan 1, 2024
Dia Nichols Individual Corporate OfficerVice President Nov 25, 2023
Advocate Health Care Network Organization, Oak Brook, IL Corporation 5% Or Greater Direct Ownership Interest Jun 1, 2013 100%
Sunil T Joseph Individual Corporate Director Jan 1, 2020
Rachel P Baer Individual Corporate Director Jan 1, 2018
Kenneth R Jakle Individual Corporate Director Jun 1, 2013
Nancy Coleman Individual Corporate Director Jan 1, 2024
Karen Lambert Individual Corporate Director May 1, 2018
Tori Munnik Individual Corporate OfficerAssistant Treasurer Jun 5, 2026
Tiffany Henderson Individual Corporate Director Jan 1, 2024
Azmey a Matarieh Individual Corporate DirectorDirector Jan 1, 2018
Sharon Jakle Individual Corporate DirectorDirector Dec 1, 2013
Rachelle Hart Individual Corporate OfficerSecretary Jun 14, 2023
Brad L Epstein Individual Corporate Director Aug 1, 2023
Craig Lamp Individual Corporate OfficerVice Chairperson Jan 1, 2020
Corporate DirectorDirector Dec 1, 2013
Janelle Dixon Individual Corporate OfficerAssistant Secretary Jan 1, 2023
Corporate Director Jan 1, 2021
Kara Richardson Individual Corporate OfficerAssistant Treasurer Jan 1, 2025
Raminder Pal Singh Individual Corporate Director Jan 1, 2021
Meeli Patel Individual Corporate Director Aug 19, 2021
Lindsay Durgin Individual Corporate OfficerTreasurer Jul 1, 2025
Thomas P Crawford Individual Corporate DirectorDirector Mar 1, 2015
Rachel Halverson Individual Corporate OfficerAssistant Treasurer Jun 14, 2023
Sheri Deshazo Individual Corporate OfficerPresident of the Corporation Oct 29, 2020
Corporate Director Oct 29, 2020
W-2 Managing EmployeePresident Oct 29, 2020
Desiree Millet Individual Corporate OfficerAssistant Treasurer Jun 5, 2026
Ravi K Damaraju Individual Corporate DirectorDirector Jan 1, 2017
Yaneth Medina Individual Corporate Director Jan 1, 2023
Nathaniel L Edmond Individual Corporate OfficerChairperson Jan 1, 2020
Corporate Director Jun 1, 2013
Scott Richmond Individual Corporate DirectorDirector Dec 1, 2013
Harold James Jr Slinkman Individual Corporate DirectorAssistant Secretary Jun 14, 2023
Advocate Health and Hospitals Corporation Organization, Downers Grove, IL Corporation, Non-profit Other Mar 30, 2022
Advocate Health Inc Organization, Charlotte, NC Corporation, Non-profit Operational/Managerial Control Dec 2, 2022
Kurt Schneider Individual Corporate Director Jan 1, 2022
Advocate Aurora Health, Inc. Organization, Milwaukee, WI Created for acquisition, Corporation, Holding company, Non-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2018 100%
Operational/Managerial Control Apr 1, 2018 100%
Raja Chatterji Individual Corporate Director Jan 1, 2019

Owners & managing parties with NPI records 7

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 908

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

View all 908

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275584302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 CENTER ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601202125",
            "telephone_number": "847-742-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "934 CENTER ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601202125",
            "telephone_number": "847-742-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERMAN HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE/CFO",
        "authorized_official_telephone_number": "847-429-8718"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "002162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS TCC",
            "identifier": "1140",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sherman Hospital Transitional Care Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.