Organization Active NPI

Weiss Memorial Hospital

  • Critical Access Hospital
  • Chicago, IL
National Provider Identifier
1275863904
Registry record updated Dec 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
WEISS MEMORIAL HOSPITAL
Practice address
4600 N Clarendon Ave
The Covington
Chicago, IL 60640-5710
Phone
(773) 961-8194
NPI assigned
Dec 31, 2009
Last updated
Dec 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2009

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

Authorized official

Name
Ms. Bushra Billoo, M.D.
Title
Intern M.D.
Phone
(773) 961-8194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X IL Primary

Addresses

Primary practice location

4600 N Clarendon Ave
The Covington
Chicago, IL 60640-5710

Mailing address

4600 N Clarendon Ave
The Covington
Chicago, IL 60640-5710
Phone (773) 961-8194

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262217600000",
    "number": "1275863904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 N CLARENDON AVE",
            "address_2": "THE COVINGTON",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405710",
            "telephone_number": "773-961-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 N CLARENDON AVE",
            "address_2": "THE COVINGTON",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405710",
            "telephone_number": "773-961-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEISS MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-31",
        "last_updated": "2009-12-31",
        "status": "A",
        "authorized_official_last_name": "BILLOO",
        "authorized_official_first_name": "BUSHRA",
        "authorized_official_title_or_position": "INTERN M.D.",
        "authorized_official_telephone_number": "773-961-8194",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "IL",
            "license": null,
            "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 Dec 31, 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.