NPIMap

Organization Active NPI

Edward J. Hines Hospital

  • Psychiatric Hospital Unit
  • Hines, IL
National Provider Identifier
1336382514
Registry record updated Apr 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
150004789 Issued in IL
Legal business name
EDWARD J. HINES HOSPITAL
Practice address
5000 S 5TH Ave
Hines, IL 60141-3030
Phone
(708) 202-4434
Fax
(708) 202-4954
NPI assigned
Apr 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2009

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

Authorized official

Name
Miss Lolita Drummond, MSW, LSW, CADC
Title
Social Worker
Phone
(708) 202-4434

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 150004789 IL Primary
Substance Use Disorder Rehabilitation Hospital Unit 276400000X 24038 IL

Addresses

Primary practice location

5000 S 5TH Ave
Hines, IL 60141-3030

Mailing address

5650 N Sheridan Rd
Apt 22C
Chicago, IL 60660-4879
Phone (773) 878-8729

National Provider Directory

National Provider Directory
Tax ID family
James a Haley Veterans' Hospital179 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 4

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1336382514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 N SHERIDAN RD",
            "address_2": "APT 22C",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606604879",
            "telephone_number": "773-878-8729",
            "fax_number": "708-202-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 S 5TH AVE",
            "city": "HINES",
            "state": "IL",
            "postal_code": "601413030",
            "telephone_number": "708-202-4434",
            "fax_number": "708-202-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD J. HINES HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "DRUMMOND",
        "authorized_official_first_name": "LOLITA",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "708-202-4434",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MSW, LSW, CADC"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "IL",
            "license": "150004789",
            "primary": true
        },
        {
            "code": "276400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation, Substance Use Disorder Unit",
            "state": "IL",
            "license": "24038",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.