NPIMap

Organization Active NPI

Presence Central and Suburban Hospitals Network

Doing business as Presence Saint Joseph Hospital - Elgin

  • Health Educator
  • Elgin, IL
National Provider Identifier
1497401087
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
Legal business name
PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK
Doing business as
Presence Saint Joseph Hospital - Elgin
Practice address
77 N Airlite St
Elgin, IL 60123-4912
Phone
(847) 695-3200
NPI assigned
Feb 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Authorized official

Name
Mary Jo Mackniskas
Title
Sr. Director Net Revenue and Reimb
Phone
(773) 213-0776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193400000X SINGLE SPECIALTY GROUP 174H00000X Primary

Addresses

Primary practice location

77 N Airlite St
Elgin, IL 60123-4912

Mailing address

77 N Airlite Street
Elgin, IL 60123-4912
Phone (847) 695-3200

Other names 1

  • Presence Saint Joseph Hospital - Elgin Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mercy Ctr Health Phys E16 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

NPI Registry JSON

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645574400000",
    "number": "1497401087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 N AIRLITE STREET",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234912",
            "telephone_number": "847-695-3200",
            "fax_number": "847-931-5742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 N AIRLITE ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234912",
            "telephone_number": "847-695-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENCE CENTRAL AND SUBURBAN HOSPITALS NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-23",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "MACKNISKAS",
        "authorized_official_first_name": "MARY JO",
        "authorized_official_title_or_position": "SR. DIRECTOR NET REVENUE AND REIMB",
        "authorized_official_telephone_number": "773-213-0776"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presence Saint Joseph Hospital - Elgin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.