NPIMap

Organization Active NPI

Copley Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Aurora, IL
National Provider Identifier
1295882561
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
COPLEY MEMORIAL HOSPITAL, INC.
Practice address
2000 Ogden Ave
Aurora, IL 60504-7222
Phone
(630) 375-2882
NPI assigned
Jan 5, 2007
Last updated
Aug 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Authorized official

Name
Mr. John Diederich
Title
President and Ceo
Phone
(630) 978-4941

Specialties & licenses 1

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

Addresses

Primary practice location

2000 Ogden Ave
Aurora, IL 60504-7222

Mailing address

2000 Ogden Ave
Aurora, IL 60504-7222
Phone (630) 375-2882

Other identifiers 1

IdentifierTypeStateIssuer
10OtherILBLUE CROSS

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
O20081124000393 IL Part A Provider - Hospital 4587656921 Practice locations: Aurora, IL; Yorkville, IL; Naperville, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295882561. Details of each certification follow.

Hospital certification: CCN 140029

Legal name
COPLEY MEMORIAL HOSPITAL INC
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Feb 9, 2023
Beds
210
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Apr 3, 1886 in IL
Enrollment address
2000 Ogden Ave
Aurora, IL 60504-7222
Main/Primary Hospital Location
Hospital subgroups
General

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Copley Memorial HospitalCCN 140029 · 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
Tax ID family
Kaushik Patel MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

3531 Fashion Way
Torrance, CA 90503
Phone (310) 316-2424

502 S Lincoln Ave
Aurora, IL 60505
Phone (312) 920-1034

1122 W Veterans Pkwy
Yorkville, IL 60560
Phone (630) 466-8200

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Susan J Corbridge Individual Corporate DirectorBoard Member Feb 19, 2025
Patrick Carmody Individual Corporate Director Sep 26, 2017
Maureen Strobl Individual Corporate Director Nov 10, 2020
Joseph Jackson Individual Corporate DirectorBoard Member Feb 19, 2025
Susana Rivera-Mills Individual Corporate DirectorBoard Member Oct 25, 2023
Patricia a Anen Individual Corporate DirectorBoard Member May 31, 2011
Maryanne Locklin Individual Corporate DirectorBoard Member Oct 31, 2006
Bruce Dienst Individual Corporate DirectorBoard Member Oct 30, 2001
John a Diederich Individual Corporate OfficerPresident & Ceo Nov 19, 2019
Catherine M Cederoth Individual Corporate DirectorBoard Member Oct 25, 2011
Mark C Metzger Individual Corporate DirectorBoard Member Oct 30, 2001
Richard Edelman Individual Corporate DirectorBoard Member Apr 27, 1999
Rush-Copley Medical Center Inc Organization, Aurora, IL Corporation, Non-profit 5% Or Greater Direct Ownership Interest Feb 8, 2017 100%
Ronald Hem Individual Corporate DirectorBoard Member Oct 27, 1998
Mary F Shilkaitis Individual Corporate OfficerVP of Operations, Chief Operating O Apr 15, 2026
W-2 Managing EmployeeVP of Operations, Chief Operating O Apr 15, 2026
James Baka Individual Corporate Director Oct 29, 2013
Rush System for Health Organization, Chicago, IL Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Sep 22, 1995 100%
David L Mead Individual Corporate DirectorBoard Member May 31, 2011

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 9

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.

Affiliated clinicians 570

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

View all 570

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1295882561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OGDEN AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047222",
            "telephone_number": "630-375-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OGDEN AVE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047222",
            "telephone_number": "630-375-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPLEY MEMORIAL HOSPITAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "DIEDERICH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "630-978-4941",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "10",
            "state": "IL"
        }
    ],
    "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 # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.