NPIMap

Organization Active NPI

Silver Cross Hospital and Medical Centers

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Morris, IL
National Provider Identifier
1356468409
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
License
1706432 Issued in IL
Legal business name
SILVER CROSS HOSPITAL AND MEDICAL CENTERS
Practice address
1551 Creek Dr
Morris, IL 60450-6857
Phone
(815) 740-7139
Fax
(815) 740-4954
NPI assigned
Mar 23, 2007
Last updated
Feb 8, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
SILVER CROSS HOSPITAL AND MEDICAL CENTERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Mr. Robert Lee Mull
Title
Director of Patient Accounts
Phone
(815) 300-7139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X 1706432 IL Primary

Addresses

Primary practice location

1551 Creek Dr
Morris, IL 60450-6857

Mailing address

1900 Silver Cross Blvd
New Lenox, IL 60451-9509
Phone (815) 300-7139

National Provider Directory

National Provider Directory
Part of
Silver Cross Hospital Medi

Locations

1870 Silver Cross Blvd
Bldg B
New Lenox, IL 60451

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1356468409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SILVER CROSS BLVD",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519509",
            "telephone_number": "815-300-7139",
            "fax_number": "815-300-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 CREEK DR",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604506857",
            "telephone_number": "815-740-7139",
            "fax_number": "815-740-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER CROSS HOSPITAL AND MEDICAL CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SILVER CROSS HOSPITAL AND MEDICAL CENTERS",
        "enumeration_date": "2007-03-23",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "MULL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "DIRECTOR OF PATIENT ACCOUNTS",
        "authorized_official_telephone_number": "815-300-7139",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "IL",
            "license": "1706432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.