Active NPI
Kindred Chicago Northlake, LLC
Doing business as Kindred Hospital - Chicago (Northlake Campus)
- Long Term Care Hospital
- Northlake, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- Legal business name
- KINDRED CHICAGO NORTHLAKE, LLC
- Doing business as
- Kindred Hospital - Chicago (Northlake Campus)
- Practice address
- 365 E North Ave
Northlake, IL 60164-2628 - Phone
- (708) 345-8100
- Fax
- (708) 345-0470
- NPI assigned
- Sep 22, 2020
- Last updated
- Mar 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy Teague
- Title
- Vice President, Corporate Secretary
- Phone
- (629) 253-5121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Hospital | 282E00000X | Primary |
Addresses
Primary practice location
365 E North Ave
Northlake, IL 60164-2628
Mailing address
365 E North Ave
Northlake, IL 60164-2628
Phone (708) 345-8100
Other names 1
- Kindred Hospital - Chicago (Northlake Campus)
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201228000164 | IL | Part A Provider - Hospital | 8527470103 |
1 other NPI on this enrollment Practice locations: Chicago, IL; Northlake, IL |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1508472804. Details of each certification follow.
Hospital certification: CCN 142008
- Legal name
- KINDRED CHICAGO NORTHLAKE, LLC
- Doing business as
- KINDRED HOSPITAL - CHICAGO
- Certification status
- Active
- Provider type (POS)
- Hospital – Long-term
- Participating since
- Feb 1, 1992
- Last certification
- Aug 31, 2023
- Beds
- 258
- Ownership / control type
- Private (for profit)
- Most recent change of ownership
- Dec 16, 2020 (5 total)
- Organization structure
- LLC
- Enrollment address
- 365 E North Ave
Northlake, IL 60164-2628 - Hospital subgroups
- Long-term
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Kindred Hospital - Chicago (North Campus)
- Long Term Care Hospital
- Chicago, IL
- NPI 1821604125
O20201228000164
Care Compare: Long-term care hospital
Medicare Care Compare- Listed as
- Kindred Hospital - Chicago
- Ownership
- For profit
- Certified
- Feb 1, 1992
- Medicare certification status
- Active
- Beds
- 258
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 15
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Kindred Healthcare Operating LLC | 5% Or Greater Direct Ownership Interest | Dec 16, 2020 | 100% |
| Kentucky Hospital Intermediate LLC | 5% Or Greater Indirect Ownership Interest | Dec 16, 2020 | 100% |
| Kindred Healthcare LLC | 5% Or Greater Indirect Ownership Interest | Dec 16, 2020 | 100% |
| Scott Graeser | Corporate Officer | Aug 19, 2022 | |
| Dana M Rock | Corporate Officer | Dec 9, 2024 | |
| Johnetta M Traylor | Corporate Officer | Dec 9, 2024 | |
| Darla Beranek | Corporate Officer | Jan 30, 2026 | |
| Kentucky Hospital Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 16, 2020 | 100% |
| Nancie Trueman | Operational/Managerial Control | Dec 1, 2025 | |
| Deanna Schiavone | Corporate Officer | Aug 22, 2022 | |
| Knight Health Holdings LLC | 5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 100% |
| Michael Joseph Bean | Corporate Officer | Dec 16, 2020 | |
| Knight Health LLC | 5% Or Greater Indirect Ownership Interest | Dec 23, 2021 | 100% |
| Kentucky Hospital Holdings JV LP | 5% Or Greater Indirect Ownership Interest | Dec 16, 2020 | 100% |
| Linn Billingsley | Corporate Officer | Jan 30, 2026 |
Facilities with the same owner 97
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
dba Andalusia Family Healthcare
- Rural Health Clinic/Center
- Andalusia, AL
- NPI 1417663576
Knight Health Holdings LLC
-
dba Cornerstone Specialty Hospitals Round Rock
- Rehabilitation Hospital Unit
- Round Rock, TX
- NPI 1396326948
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
-
dba Cornerstone Specialty Hospitals Round Rock
- Long Term Care Hospital
- Round Rock, TX
- NPI 1912395203
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
-
dba Cornerstone Specialty Hospitals Conroe
- Long Term Care Hospital
- Conroe, TX
- NPI 1073901476
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
-
dba Cornerstone Specialty Hospitals Little Rock
- Long Term Care Hospital
- Little Rock, AR
- NPI 1346630589
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
-
dba Solara Specialty Hospitals McAllen
- Long Term Care Hospital
- McAllen, TX
- NPI 1760870166
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
-
dba Andalusia Health
- General Acute Care Hospital
- Andalusia, AL
- NPI 1821078494
Kindred Healthcare Operating LLC, Knight Health Holdings LLC
-
dba Cornerstone Specialty Hospitals Huntington
- Long Term Care Hospital
- Huntington, WV
- NPI 1548214786
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
-
dba Kindred Hospital Dallas Central
- Long Term Care Hospital
- Dallas, TX
- NPI 1356559991
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
-
dba Kindred Hospital Dallas Central (Acute Rehab Unit)
- Rehabilitation Hospital Unit
- Dallas, TX
- NPI 1821741539
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
-
dba Carolina Pines Regional Medical Center
- General Acute Care Hospital
- Hartsville, SC
- NPI 1174500458
Kindred Healthcare Operating LLC, Knight Health Holdings LLC
-
dba Kindred Hospital Melbourne
- Long Term Care Hospital
- Melbourne, FL
- NPI 1497983936
Kentucky Hospital Holdings JV LP, Kentucky Hospital Holdings LLC, Kentucky Hospital Intermediate LLC, Kindred Healthcare LLC, Kindred Healthcare Operating LLC, Knight Health Holdings LLC, Knight Health LLC
Practitioners & affiliated clinicians
Affiliated clinicians 25
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1437124419
Long-term care hospital
-
- Critical Care Medicine (Internal Medicine) Physician
- Chicago, IL
- NPI 1790737781
Long-term care hospital
-
- Internal Medicine Physician
- Park Ridge, IL
- NPI 1689976649
Long-term care hospital
-
- Internal Medicine Physician
- Oak Brook, IL
- NPI 1699721142
Long-term care hospital
-
- Pulmonary Disease Physician
- Chicago, IL
- NPI 1366537409
Long-term care hospital
-
- Critical Care Medicine (Internal Medicine) Physician
- Oak Lawn, IL
- NPI 1205876414
Long-term care hospital
-
- Internal Medicine Physician
- Lincolnwood, IL
- NPI 1144299785
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600732800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710115200000",
"number": "1508472804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "365 E NORTH AVE",
"city": "NORTHLAKE",
"state": "IL",
"postal_code": "601642628",
"telephone_number": "708-345-8100",
"fax_number": "708-345-0470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "365 E NORTH AVE",
"city": "NORTHLAKE",
"state": "IL",
"postal_code": "601642628",
"telephone_number": "708-345-8100",
"fax_number": "708-345-0470"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINDRED CHICAGO NORTHLAKE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-22",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A",
"authorized_official_last_name": "TEAGUE",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "VICE PRESIDENT, CORPORATE SECRETARY",
"authorized_official_telephone_number": "629-253-5121"
},
"taxonomies": [
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kindred Hospital - Chicago (Northlake Campus)",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Kindred Hospital - Chicago (Northlake Campus)",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Northlake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.