NPIMap

Organization Active NPI

Saint Mary Saint Elizabeth Medical Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1457802365
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SAINT MARY SAINT ELIZABETH MEDICAL CENTER
Practice address
1127 N Oakley Blvd
3Rd FL, NFC Buidling
Chicago, IL 60622-3507
Phone
(312) 770-2317
Fax
(312) 770-2557
NPI assigned
Oct 17, 2016
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
PRESENCE CHICAGO HOSP. NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Frank Perham, LCPC
Title
Vice President
Phone
(708) 338-3806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X IL Primary

Addresses

Primary practice location

1127 N Oakley Blvd
3Rd FL, NFC Buidling
Chicago, IL 60622-3507

Mailing address

2233 W Division St
1127 N. Oakley, 3Rd FL. NFC BLDG
Chicago, IL 60622-8151
Phone (312) 770-2317

National Provider Directory

National Provider Directory
Tax ID family
Saint Mary Saint Elizabeth Medical Center8 organizations share this tax ID, including this one
Part of
Saint Mary Saint Elizabeth Medical Center

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1457802365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 W DIVISION ST",
            "address_2": "1127 N. OAKLEY, 3RD FL. NFC BLDG",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228151",
            "telephone_number": "312-770-2317",
            "fax_number": "312-770-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 N OAKLEY BLVD",
            "address_2": "3RD FL, NFC BUIDLING",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606223507",
            "telephone_number": "312-770-2317",
            "fax_number": "312-770-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MARY SAINT ELIZABETH MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRESENCE CHICAGO HOSP. NETWORK",
        "enumeration_date": "2016-10-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "PERHAM",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "708-338-3806",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": null,
            "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 Jul 21, 2022; 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.