Edward Hines Jr. Hospital

Primary specialty

Military General Acute Care HospitalTaxonomy code 2865M2000X

License

041281069 Issued in IL

Legal business name

EDWARD HINES JR. HOSPITAL

Practice address

1085 Idaho St
Carol Stream, IL 60188-1348

Phone

(630) 871-9531

NPI assigned

May 5, 2008

Last updated

May 5, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Thresiamma J. Parackal

Title

Registered Nurse

Phone

(708) 202-2020

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1568638948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 IDAHO ST",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601881348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 IDAHO ST",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601881348",
            "telephone_number": "630-871-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD HINES JR. HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "PARACKAL",
        "authorized_official_first_name": "THRESIAMMA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "708-202-2020",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": "IL",
            "license": "041281069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Megan S Dusing, MS CCC SLP
• Emily Dyson
• Alexander E Earl, DC
• Karen Theresa Edwards
• Susan Steele Edwards, L.I.C.S.W.
• Sheena Aleena Eettickal, D.O
• Jennifer Ehrhardt, FNP-C
• Elevate Men's Health LLC

• Military Hospital in Carol Stream, IL
• Providers in Carol Stream, IL by specialty
• Military Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.