NPIMap

Organization Active NPI

Presence Central and Suburban Hospitals Network

Doing business as PSJMC Neonatology

  • Neonatal-Perinatal Medicine Physician
  • Joliet, IL
National Provider Identifier
1447596630
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
Legal business name
PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK
Doing business as
PSJMC Neonatology
Practice address
333 N. Madison St.
Joliet, IL 60435
Phone
(708) 460-7444
Fax
(708) 460-7512
NPI assigned
Dec 17, 2012
Last updated
Oct 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Deborah Schimerowski
Title
Regional Finance Officer
Phone
(217) 337-2740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080N0001X Primary

Addresses

Primary practice location

333 N. Madison St.
Joliet, IL 60435

Mailing address

333 N. Madison St.
Joliet, IL 60435
Phone (708) 460-7444

Other names 1

  • PSJMC Neonatology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mercy Ctr Health16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Locations

333 Madison St
Ste 1024
Joliet, IL 60435
Phone (815) 773-7080

18410 Crossing Dr
Ste A
Tinley Park, IL 60487
Phone (708) 342-7171

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1355702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1447596630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N. MADISON ST.",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60435",
            "telephone_number": "708-460-7444",
            "fax_number": "708-460-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N. MADISON ST.",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "60435",
            "telephone_number": "708-460-7444",
            "fax_number": "708-460-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-17",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "SCHIMEROWSKI",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "REGIONAL FINANCE OFFICER",
        "authorized_official_telephone_number": "217-337-2740"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PSJMC Neonatology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.