NPIMap

Organization Active NPI

Advocate Health and Hospitals Corporation

Doing business as Advocate South Suburban Hospital

  • General Acute Care Hospital
  • Hazel Crest, IL
National Provider Identifier
1467560128
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
282N00000X Issued in IL
Legal business name
ADVOCATE HEALTH AND HOSPITALS CORPORATION
Doing business as
Advocate South Suburban Hospital
Advocate Southland Health Network
Practice address
17800 South Kedzie Avenue
Hazel Crest, IL 60429
Phone
(708) 799-8000
NPI assigned
Aug 25, 2006
Last updated
Jan 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
Kara Richardson
Title
VP Managed Health
Phone
(980) 416-4068

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X
General Acute Care Hospital 282N00000X 282N00000X IL Primary
Clinical Medical Laboratory 291U00000X
Skilled Nursing Facility 314000000X 314000000X IL

Addresses

Primary practice location

17800 South Kedzie Avenue
Hazel Crest, IL 60429

Mailing address

17800 South Kedzie Avenue
Hazel Crest, IL 60429
Phone (708) 799-8000

Other names 2

  • Advocate South Suburban Hospital Doing business as
  • Advocate Southland Health Network Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051108000578 IL Part A Provider - Hospital 7810800935 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chicago, IL; Hazel Crest, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467560128. Details of each certification follow.

Hospital certification: CCN 140048

Legal name
ADVOCATE HEALTH AND HOSPITALS CORPORATION
Doing business as
ADVOCATE SOUTHLAND HEALTH NETWORK
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Sep 29, 2022
Beds
263
Ownership / control type
Church
Organization structure
CorporationNon-profit
Enrollment address
2320 E 93Rd St
Chicago, IL 60617-3909
Main/Primary Hospital Location
Hospital subgroups
General

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Advocate Trinity HospitalCCN 140048 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Church
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 21

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Dia Nichols Individual Corporate OfficerPresident Oct 1, 2024
Corporate Director Oct 1, 2024
Jon Kluge Individual Corporate OfficerVice President Nov 7, 2025
Advocate Health Care Network Organization, Oak Brook, IL Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 1997 100%
Gail D Hasbrouck Individual Corporate Director Sep 14, 2014
Clarence Nixon Individual Corporate OfficerChairperson Jan 1, 2025
Corporate Director Oct 12, 2005
Tori Munnik Individual Corporate OfficerAssistant Treasurer Jun 3, 2026
Rachelle Hart Individual Corporate OfficerSecretary Jun 14, 2023
Kara Richardson Individual Corporate OfficerAssistant Treasurer Oct 1, 2024
David B Anderson Individual Corporate Director Oct 12, 2005
Michelle Blakely Individual W-2 Managing EmployeeHospital President Oct 1, 2024
Lindsay Durgin Individual Corporate OfficerTreasurer Jul 1, 2025
Rachel Halverson Individual Corporate OfficerAssistant Treasurer Jun 14, 2023
Jequeatta Smith Individual W-2 Managing EmployeeHospital President Oct 19, 2025
Desiree Millet Individual Corporate OfficerAssistant Treasurer Jun 3, 2026
Nathaniel L Edmond Individual Corporate OfficerVice Chairperson Jan 1, 2025
Corporate Director Jun 1, 2013
Harold James Jr Slinkman Individual Corporate OfficerAssistant Secretary Jun 14, 2023
Advocate Health Inc Organization, Charlotte, NC Corporation, Non-profit Operational/Managerial Control Dec 2, 2022
Mark M Harris Individual Corporate Director Oct 12, 2005
Advocate Aurora Health, Inc. Organization, Milwaukee, WI Corporation, Holding company, Non-profit 5% Or Greater Indirect Ownership Interest Apr 1, 2018 100%
Operational/Managerial Control Apr 1, 2018 100%
Suzanna Fox Individual Corporate OfficerVice President Nov 7, 2025
Kathie S Bender Schwich Individual Corporate Director Jun 11, 2023

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 50

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 50

Affiliated clinicians 835

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 835

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1467560128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17800 SOUTH KEDZIE AVENUE",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "60429",
            "telephone_number": "708-799-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17800 SOUTH KEDZIE AVENUE",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "60429",
            "telephone_number": "708-799-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVOCATE HEALTH AND HOSPITALS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "VP MANAGED HEALTH",
        "authorized_official_telephone_number": "980-416-4068"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "282N00000X",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "314000000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Advocate South Suburban Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advocate South Suburban Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advocate Southland Health Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hazel Crest, IL

Sources for this page

Verify at the official NPI Registry.