Organization Active NPI

St Joseph Hospital

  • General Acute Care Hospital
  • Chicago, IL
National Provider Identifier
1275815300
Registry record updated Sep 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
125059045 Issued in IL
Legal business name
ST JOSEPH HOSPITAL
Practice address
2756 N Pine Grove Ave
Unit 308
Chicago, IL 60614-6138
Phone
(773) 857-5107
NPI assigned
Sep 14, 2011
Organization subpart
Yes
Parent organization
363200170As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 14, 2011

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

Authorized official

Name
Dinah Loa, MDNPI 1699058511
Title
Resident Physician
Phone
(773) 318-8702

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 125059045 IL Primary

Addresses

Primary practice location

2756 N Pine Grove Ave
Unit 308
Chicago, IL 60614-6138

Mailing address

2756 N Pine Grove Ave
Unit 308
Chicago, IL 60614
Phone (773) 857-5107

National Provider Directory

National Provider Directory
Part of
Saint Joseph Hospital

Practitioners & affiliated clinicians

Practitioners 1

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": "1315958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315958400000",
    "number": "1275815300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2756 N PINE GROVE AVE",
            "address_2": "UNIT 308",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60614",
            "telephone_number": "773-857-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2756 N PINE GROVE AVE",
            "address_2": "UNIT 308",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606146138",
            "telephone_number": "773-857-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPH HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "363200170",
        "enumeration_date": "2011-09-14",
        "last_updated": "2011-09-14",
        "status": "A",
        "authorized_official_last_name": "LOA",
        "authorized_official_first_name": "DINAH",
        "authorized_official_title_or_position": "RESIDENT PHYSICIAN",
        "authorized_official_telephone_number": "773-318-8702",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "125059045",
            "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 Sep 14, 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.