Active NPI
Presence Central and Suburban Hospitals Network
Doing business as Presence St. Joseph Hospital-Elgin Rehab Unit
- Rehabilitation Hospital Unit
- Elgin, IL
National Provider Identifier
1336215482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital Unit
- License
- 0004887
- Legal business name
- PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK
- Doing business as
- Presence St. Joseph Hospital-Elgin Rehab Unit
- Practice address
- 77 N Airlite St
Elgin, IL 60123-4912 - Phone
- (847) 622-2086
- Fax
- (847) 669-7624
- NPI assigned
- Nov 28, 2006
- Last updated
- Dec 29, 2021
- Organization subpart
- Yes
- Parent organization
- PRESENCE HOSPITALS - PRV
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Douglas Carter
- Title
- Amita Cfo
- Phone
- (224) 273-2350
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital Unit | 273Y00000X | 0004887 | IL | Primary |
Addresses
Primary practice location
77 N Airlite St
Elgin, IL 60123-4912
Mailing address
77 N Airlite St
Elgin, IL 60123-4912
Phone (847) 622-2086
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00055 | Other | IL | BCBS IL INPATIENT REHAB |
Other names 1
- Presence St. Joseph Hospital-Elgin Rehab Unit
National Provider Directory
National Provider Directory- Part of
- Mercy Ctr Health
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Prime Healthcare Rx 1005
- Community/Retail Pharmacy
- Aurora, IL
- NPI 1215025762
Member Of
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
dba Presence Saint Joseph Medical Center - Ped/Endo Clinic
- Pediatric Endocrinology Physician
- Joliet, IL
- NPI 1659740033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640736000000",
"number": "1336215482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 N AIRLITE ST",
"city": "ELGIN",
"state": "IL",
"postal_code": "601234912",
"telephone_number": "847-622-2086",
"fax_number": "847-669-7624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 N AIRLITE ST",
"city": "ELGIN",
"state": "IL",
"postal_code": "601234912",
"telephone_number": "847-622-2086",
"fax_number": "847-669-7624"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PRESENCE HOSPITALS - PRV",
"enumeration_date": "2006-11-28",
"last_updated": "2021-12-29",
"certification_date": "2021-12-29",
"status": "A",
"authorized_official_last_name": "CARTER",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "DOUGLAS",
"authorized_official_title_or_position": "AMITA CFO",
"authorized_official_telephone_number": "224-273-2350"
},
"taxonomies": [
{
"code": "273Y00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Unit",
"state": "IL",
"license": "0004887",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS IL INPATIENT REHAB",
"identifier": "00055",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Presence St. Joseph Hospital-Elgin Rehab Unit",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Presence St. Joseph Hospital-Elgin Rehab Unit",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elgin, IL
- Preferred Open MRI LTD (Preferred Imaging)
- Premier Womens Health Associates SC
- Premise Health of Illinois Medical PC (MCL Health Center)
- Bianca Prentis, DC
- Presence Central and Suburban Hospitals Network
- Presence Central and Suburban Hospitals Network (Presence Saint Joseph Hospital - Elgin)
- Presence Central and Suburban Hospitals Network (Presence St. Joseph Hospital - Elgin Psychiatric Unit)
- Presence Central and Suburban Hospitals Network (Presence St. Joseph Hospital-Elgin)
- Presence Home Care (Presence Home Care - Elgin)
- Presence Saint Joseph Hospital - Elgin (Anticoagulation Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.