NPIMap

Organization Active NPI

Provider Services at St Bernard

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1548024755
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PROVIDER SERVICES AT ST BERNARD
Practice address
326 W 64TH St
Chicago, IL 60621-3146
Phone
(773) 962-4044
Fax
(773) 962-4480
NPI assigned
Feb 8, 2024
Organization subpart
Yes
Parent organization
ST BERNARD HOSPITAL & HEALTH CARE CENTERAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Robert C Springer
Title
Chief Financial Officer
Phone
(773) 962-4210

National Provider Directory

National Provider Directory
Tax ID family
St Bernard Hospital13 organizations share this tax ID, including this one
Part of
St Bernard Hospital

Other organizations with this tax ID 12

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

326 W 64TH St
Chicago, IL 60621-3146

Mailing address

326 W 64TH St
Chicago, IL 60621-3146
Phone (773) 962-4044

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 8, 2024.

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1548024755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 W 64TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213146",
            "telephone_number": "773-962-4044",
            "fax_number": "773-962-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 W 64TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606213146",
            "telephone_number": "773-962-4044",
            "fax_number": "773-962-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDER SERVICES AT ST BERNARD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST BERNARD HOSPITAL & HEALTH CARE CENTER",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "SPRINGER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "773-962-4210"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "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 Feb 8, 2024; 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.