Active NPI
Loretto Hospital
- General Acute Care Hospital
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 1706406
- Legal business name
- LORETTO HOSPITAL
- Practice address
- 645 S Central Ave
Chicago, IL 60644-5059 - Phone
- (773) 854-5000
- Fax
- (773) 626-7902
- NPI assigned
- Jul 4, 2006
- Last updated
- Oct 9, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tesa Anewishki
- Title
- President/Ceo
- Phone
- (773) 854-5000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 1706406 | IL | Primary |
Addresses
Primary practice location
645 S Central Ave
Chicago, IL 60644-5059
Mailing address
645 S Central Ave
Chicago, IL 60644-5059
Phone (773) 854-5567
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070103000114 | IL | Part B Supplier - Clinic/Group Practice | 5193725893 |
Receives reassigned benefits from 58 practitioners 3 other NPIs on this enrollment Practice locations: Chicago, IL |
| O20111130000488 | IL | Part A Provider - Hospital | 5193725893 | Practice locations: Chicago, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1447280284. Details of each certification follow.
Hospital certification: CCN 140083
- Legal name
- LORETTO HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Feb 16, 2018
- Beds
- 176
- Ownership / control type
- Other
- Organization structure
- Corporation
- Incorporated
- Jul 7, 1939 in IL
- Enrollment address
- 645 S Central Ave
Chicago, IL 60644-5059 - Hospital subgroups
- Acute care
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Loretto Hospital Physician Group
- General Practice Physician
- Chicago, IL
- NPI 1306318753
O20070103000114
-
dba Loretto Outpatient Mental Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1831364132
O20070103000114
Care Compare: Hospital
Medicare Care Compare- Listed as
- Loretto Hospital
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Other
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider Directory- Tax ID family
- Austin Pride
Other organizations with this tax ID 6
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1285809236
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1023342664
-
- Substance Abuse Rehabilitation Facility
- Chicago, IL
- NPI 1215395496
-
dba Loretto Hospital Physician Group
- General Practice Physician
- Chicago, IL
- NPI 1306318753
-
- Substance Abuse Rehabilitation Facility
- Chicago, IL
- NPI 1801314380
-
dba Loretto Outpatient Mental Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1831364132
Locations
6905 Cermak Rd
Ste A
Berwyn, IL 60402
Phone (630) 664-2792
Interoperability endpoints
- alan.pollak@loretto.medalliesdirect.net
- alan.sadah@loretto.medalliesdirect.net
- aparna.pai@loretto.medalliesdirect.net
- athanasia.sarros@loretto.medalliesdirect.net
- aziz.ahmed@loretto.medalliesdirect.net
- babu.ponakala@loretto.medalliesdirect.net
- bhupatkumar.mehta@loretto.medalliesdirect.net
- darla.thomas@loretto.medalliesdirect.net
- deepak.leekha@loretto.medalliesdirect.net
- edgar.ramos@loretto.medalliesdirect.net
- eliyazar.gaddam@loretto.medalliesdirect.net
- elmira.thomas@loretto.medalliesdirect.net
- fernando.ampuero@loretto.medalliesdirect.net
- gary.barsky@loretto.medalliesdirect.net
- gopal.lalmalani@loretto.medalliesdirect.net
- hubert.fernandes@loretto.medalliesdirect.net
- ibrahim.majzoub@loretto.medalliesdirect.net
- ilysa.diamond@loretto.medalliesdirect.net
- isaiah.pittman@loretto.medalliesdirect.net
- jared.kalina@loretto.medalliesdirect.net
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Tesa R Anewishki | Corporate Officer | Apr 12, 2022 | |
| James R Montgomery | Corporate Director | Sep 15, 2010 | |
| Kenneth McGhee | Corporate Officer | Oct 12, 2012 | |
| W-2 Managing Employee | May 1, 2024 |
Practitioners & affiliated clinicians
Practitioners 71
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.
-
- Interventional Cardiology Physician
- Bloomingdale, IL
- NPI 1962403998
-
- Diagnostic Radiology Physician
- McHenry, IL
- NPI 1821353475
-
- Gynecology Physician
- Chicago, IL
- NPI 1760438477
-
- Foot & Ankle Surgery Podiatrist
- Melrose Park, IL
- NPI 1548826571
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1669847307
-
- Dermatology Physician
- Elmhurst, IL
- NPI 1881756633
-
- Emergency Medicine Physician
- McHenry, IL
- NPI 1477521797
-
- Family Medicine Physician
- Chicago, IL
- NPI 1235659335
-
- Psychiatric/Mental Health Nurse Practitioner
- Chicago, IL
- NPI 1699273011
-
- Vascular & Interventional Radiology Physician
- Chicago, IL
- NPI 1063677946
-
- Emergency Medicine Physician
- Quincy, IL
- NPI 1699081042
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1871984823
Affiliated clinicians 64
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759968000000",
"number": "1447280284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 S CENTRAL AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606445059",
"telephone_number": "773-854-5567",
"fax_number": "773-626-7902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 S CENTRAL AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606445059",
"telephone_number": "773-854-5000",
"fax_number": "773-626-7902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LORETTO HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A",
"authorized_official_last_name": "ANEWISHKI",
"authorized_official_first_name": "TESA",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "773-854-5000"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "IL",
"license": "1706406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.