St James Hospital United States Catholic Conference

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036127750 Issued in IL

Legal business name

ST JAMES HOSPITAL UNITED STATES CATHOLIC CONFERENCE

Doing business as

Franciscan St James Family Health Center of Chicago Heights

Practice address

30 E 15TH St
Suite # 308
Chicago Heights, IL 60411-3459

Phone

(708) 755-9355

Fax

(708) 755-7851

NPI assigned

Dec 12, 2011

Last updated

Dec 12, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Senesac

Title

Treasurer

Phone

(708) 756-1000

Specialties & licenses 1

Addresses

Other names 1

• FRANCISCAN ST JAMES FAMILY HEALTH CENTER OF CHICAGO HEIGHTS Doing business as

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323648000000",
    "number": "1457629966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 SIERRA DR",
            "address_2": "SUITE 400",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461437240",
            "telephone_number": "317-528-4250",
            "fax_number": "317-865-8316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E 15TH ST",
            "address_2": "SUITE # 308",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604113459",
            "telephone_number": "708-755-9355",
            "fax_number": "708-755-7851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JAMES HOSPITAL UNITED STATES CATHOLIC CONFERENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-12",
        "status": "A",
        "authorized_official_last_name": "SENESAC",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "708-756-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036127750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FRANCISCAN ST JAMES FAMILY HEALTH CENTER OF CHICAGO HEIGHTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Southwest Disabilities Services & Support NFP
• Sparkling Smiles Family Dental
• Speed Early Learning Center
• St James Hospital and Health Care Center
• St James Hospital United States Catholic Conference (St James Diabetes)
• St James Hospital US Catholic Conference (St James Psychological Wellness)
• St James Hosptial (Alverno Home Infusion Service)
• St. James Physician Hospital Organization
• Nelly Staines, OTR/L
• Walter B Stanford, D.D.S.

• Internal Medicine Physician in Chicago Heights, IL
• Providers in Chicago Heights, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.