Organization Active NPI

Westside Community Hospital Inc.

  • General Acute Care Hospital
  • Chicago, IL
National Provider Identifier
1558367656
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
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

Updated by the provider on Apr 4, 2013

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.