NPIMap

Organization Active NPI

Elmhurst Memorial Hospital

  • Health Educator
  • Addison, IL
National Provider Identifier
1396430922
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
ELMHURST MEMORIAL HOSPITAL
Practice address
303 W Lake St
Addison, IL 60101-2586
Phone
(331) 221-1000
NPI assigned
Apr 10, 2023
Last updated
Apr 10, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
ELMHURST MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Authorized official

Name
Shaun Walder
Title
VP, Hospital PFS
Phone
(630) 646-3702

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X NU Primary

Addresses

Primary practice location

303 W Lake St
Addison, IL 60101-2586

Mailing address

155 E Brush Hill Rd
Elmhurst, IL 60126-5658
Phone (331) 221-1000

National Provider Directory

National Provider Directory
Tax ID family
Elmhurst Memorial Healthcare15 organizations share this tax ID, including this one
Part of
Elmhurst Memorial Healthcare

Other organizations with this tax ID 14

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

View all 14

Locations

303 W Lake St
Addison, IL 60101
Phone (331) 221-1705

NPI Registry JSON

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681084800000",
    "number": "1396430922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 E BRUSH HILL RD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265658",
            "telephone_number": "331-221-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 W LAKE ST",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601012586",
            "telephone_number": "331-221-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMHURST MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELMHURST MEMORIAL HOSPITAL",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A",
        "authorized_official_last_name": "WALDER",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "VP, HOSPITAL PFS",
        "authorized_official_telephone_number": "630-646-3702"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.