NPIMap

Organization Active NPI

Gottlieb Community Health Services Corporation

Doing business as MacNeal Hospital

  • General Acute Care Hospital
  • Berwyn, IL
National Provider Identifier
1295710580
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0005082 Issued in IL
Legal business name
GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION
Doing business as
MacNeal Hospital
Practice address
3249 South Oak Park Ave
Berwyn, IL 60402
Phone
(708) 783-3125
Fax
(708) 783-3166
NPI assigned
Dec 9, 2005
Last updated
Jun 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Adenrele Kolawole
Title
Director Billing Operations
Phone
(708) 216-3743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 0005082 IL Primary

Addresses

Primary practice location

3249 South Oak Park Ave
Berwyn, IL 60402

Mailing address

3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (708) 216-0378

Other names 1

  • MacNeal Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180328000144 IL Part A Provider - Hospital 3375442999 Practice locations: Berwyn, IL; Riverside, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295710580. Details of each certification follow.

Hospital certification: CCN 140054

Legal name
GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION
Doing business as
MACNEAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 22, 2009
Beds
427
Ownership / control type
Private (for profit)
Most recent change of ownership
Mar 1, 2018 (2 total)
Organization structure
CorporationNon-profit
Incorporated
Nov 13, 1984 in IL
Enrollment address
3249 Oak Park Ave
Berwyn, IL 60402-3429
Other Hospital Practice Location
Hospital subgroups
Acute care, Psychiatric unit

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
Macneal HospitalCCN 140054 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Midwives3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3722 Harlem Ave
Riverside, IL 60546
Phone (708) 442-0797

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Elizabeth Early Individual Corporate DirectorBoard Member Jan 1, 2022
Eva Maria Wojcik Individual Corporate DirectorBoard Member Sep 23, 2022
Melissa Lukasick Individual Corporate OfficerCfo/Treasurer Jun 28, 2019
Bertina Barnes Individual Corporate OfficerAsst Secretary Jan 1, 2024
Marc H Schwartz Individual Corporate OfficerBoard Chair Jan 1, 2022
Corporate DirectorBoard Member Jan 1, 2022
Maria J Pekar Individual Corporate OfficerAssistant Secretary Mar 1, 2018
Jill Rappis Individual Corporate OfficerSecretary Jul 8, 2011
Adenrele Adekunbi Kolawole Individual Corporate OfficerDirector Central Billing Operations Sep 25, 2019
Loyola University Health System Organization, Maywood, IL Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Jul 1, 2008 100%
Trinity Health Corporation Organization, Livonia, MI Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest Jul 1, 2011 100%
Stuart Kilpinen Individual Operational/Managerial ControlChain Home Office Administrator Jun 10, 2023
Tad Gomez Individual Corporate DirectorBoard Member Jan 1, 2022
Pierre Monice Individual Corporate OfficerPresident Oct 31, 2021
Corporate DirectorBoard Member Jan 1, 2022

Owners & managing parties with NPI records 1

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

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

Affiliated clinicians 503

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

View all 503

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1295710580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3249 OAK PARK AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023429",
            "telephone_number": "708-216-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3249 SOUTH OAK PARK AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "60402",
            "telephone_number": "708-783-3125",
            "fax_number": "708-783-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "KOLAWOLE",
        "authorized_official_first_name": "ADENRELE",
        "authorized_official_title_or_position": "DIRECTOR BILLING OPERATIONS",
        "authorized_official_telephone_number": "708-216-3743"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "0005082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MacNeal Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MacNeal Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berwyn, IL

Sources for this page

Verify at the official NPI Registry.