NPIMap

Organization Active NPI

VHS of Ill Dba Macneal

  • General Acute Care Hospital
  • Berwyn, IL
National Provider Identifier
1497949903
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
VHS OF ILL DBA MACNEAL
Practice address
3231 S Euclid Ave 5TH FL
Dept of Family Medicine
Berwyn, IL 60402
Phone
(708) 783-2000
Fax
(708) 783-3656
NPI assigned
Aug 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Authorized official

Name
Dr. Winston Dayalan Rajendram, M.D.
Title
Resident Physician
Phone
(708) 783-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X IL Primary

Addresses

Primary practice location

3231 S Euclid Ave 5TH FL
Dept of Family Medicine
Berwyn, IL 60402

Mailing address

850 N State St
Apt 19H
Chicago, IL 60610-8678
Phone (312) 981-1406

National Provider Directory

National Provider Directory
Tax ID family
Macneal Physician Group LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

850 N State St
Apt 19H
Chicago, IL 60610

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1497949903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N STATE ST",
            "address_2": "APT 19H",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606108678",
            "telephone_number": "312-981-1406",
            "fax_number": "708-783-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3231 S EUCLID AVE 5TH FL",
            "address_2": "DEPT OF FAMILY MEDICINE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "60402",
            "telephone_number": "708-783-2000",
            "fax_number": "708-783-3656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VHS OF ILL DBA MACNEAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "RAJENDRAM",
        "authorized_official_first_name": "WINSTON",
        "authorized_official_middle_name": "DAYALAN",
        "authorized_official_title_or_position": "RESIDENT PHYSICIAN",
        "authorized_official_telephone_number": "708-783-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.