Cook County
Organization Active NPI General Acute Care Hospital · Oak Forest, IL
NPI 1346360682 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1346360682
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 0001743 (IL)
- Legal business name
- COOK COUNTY
- Practice address
- 15900 Cicero
Oak Forest, IL 60452 - Phone
- (708) 633-3486
- NPI assigned
- Mar 30, 2007
- Organization subpart
- No
Authorized official
- Name
- Walena Valencia
- Title
- Cfo
- Phone
- (708) 633-3486
Other NPIs on the same Medicare enrollment 29
Practitioners 1
-
Sindhura Bandi, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031209000747 | IL | Part B Supplier - Clinic/Group Practice | 2860398088 |
Receives reassigned benefits from 1,783 practitioners 29 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Chicago, IL; Ford Heights, IL; North Riverside, IL; Robbins, IL; Arlington Heights, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 0001743 | IL | Yes |
Addresses
Primary practice location
15900 Cicero
Oak Forest, IL 60452
Mailing address
1110 S Oakley Blvd
Room 200
Chicago, IL 60612-4218
Phone (312) 864-4665
Other names
- OAK FOREST HOSPITAL FFS
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- Jennifer Woods Conway
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All providers in Oak Forest, IL · General Acute Care Hospital in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.