Active NPI
Westside Community Hospital Inc.
- General Acute Care Hospital
- Chicago, IL
National Provider Identifier
1558367656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- WESTSIDE COMMUNITY HOSPITAL INC.
- Practice address
- 3240 W. Franklin Blvd.
Chicago, IL 60624 - Phone
- (773) 722-3020
- Fax
- (773) 265-7361
- NPI assigned
- Jun 23, 2005
- 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
- Mr. Roy Payawal, CPA
- Title
- VP of Finance-Cfo
- Phone
- (773) 265-7626
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | IL | Primary |
Addresses
Primary practice location
3240 W. Franklin Blvd.
Chicago, IL 60624
Mailing address
3240 W. Franklin Blvd
Chicago, IL 60624
Phone (773) 722-3020
Other names 1
- SACRED HEART HOSPITAL
National Provider Directory
National Provider DirectoryLocations
3240 W Franklin Blvd
Ste 310
Chicago, IL 60624
4950 W Thomas St
Chicago, IL 60651
Phone (773) 265-7354
1223 W 87th St
Chicago, IL 60620
Phone (773) 238-6489
405 Harrison St
Oak Park, IL 60304
Phone (708) 848-9390
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Oak Park, IL
- NPI 1699828715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365033600000",
"number": "1558367656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3240 W. FRANKLIN BLVD",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60624",
"telephone_number": "773-722-3020",
"fax_number": "773-265-7361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3240 W. FRANKLIN BLVD.",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60624",
"telephone_number": "773-722-3020",
"fax_number": "773-265-7361"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTSIDE COMMUNITY HOSPITAL INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-23",
"last_updated": "2013-04-04",
"status": "A",
"authorized_official_last_name": "PAYAWAL",
"authorized_official_first_name": "ROY",
"authorized_official_title_or_position": "VP OF FINANCE-CFO",
"authorized_official_telephone_number": "773-265-7626",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SACRED HEART HOSPITAL",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.