NPIMap

Organization Active NPI

Mercy Hospital Medical Centre

  • Special Hospital
  • Chicago, IL
National Provider Identifier
1275812182
Registry record updated Aug 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
125059101 Issued in IL
Legal business name
MERCY HOSPITAL MEDICAL CENTRE
Practice address
2525 S Michigan Ave
Mercy Hospital Medical Center
Chicago, IL 60616-2333
Phone
(312) 567-2000
NPI assigned
Aug 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2011

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

Authorized official

Name
Dr. Vidhyalakshmy Vivek, MD
Title
Resident Physician
Phone
(732) 647-5708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X 125059101 IL Primary

Addresses

Primary practice location

2525 S Michigan Ave
Mercy Hospital Medical Center
Chicago, IL 60616-2333

Mailing address

345 E Eastgate PL
Apt 205
Chicago, IL 60616-5504
Phone (732) 647-5708

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1275812182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 E EASTGATE PL",
            "address_2": "APT 205",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606165504",
            "telephone_number": "732-647-5708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S MICHIGAN AVE",
            "address_2": "MERCY HOSPITAL MEDICAL CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162333",
            "telephone_number": "312-567-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL MEDICAL CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-09",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "VIVEK",
        "authorized_official_first_name": "VIDHYALAKSHMY",
        "authorized_official_title_or_position": "RESIDENT PHYSICIAN",
        "authorized_official_telephone_number": "732-647-5708",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "IL",
            "license": "125059101",
            "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 9, 2011; 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.