Organization Active NPI

Little Company of Mary Hospital Inc

  • General Acute Care Hospital
  • Evergreen Park, IL
National Provider Identifier
1598768780
Registry record updated Mar 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
1744976 Issued in IL
Legal business name
LITTLE COMPANY OF MARY HOSPITAL INC
Practice address
2800 W 95TH St
Evergreen Park, IL 60805-2746
Phone
(708) 422-6200
Fax
(708) 499-8510
NPI assigned
May 23, 2005
Last updated
Mar 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2010

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

Authorized official

Name
Mrs. Candace Ann Baker
Title
Manager Business Office
Phone
(708) 229-5126

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 1744976 IL Primary

Addresses

Primary practice location

2800 W 95TH St
Evergreen Park, IL 60805-2746

Mailing address

2800 W 95TH St
Evergreen Park, IL 60805-2746
Phone (708) 422-6200

Other identifiers 1

IdentifierTypeStateIssuer
030OtherILBLUE CROSS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269216000000",
    "number": "1598768780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052746",
            "telephone_number": "708-422-6200",
            "fax_number": "708-499-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W 95TH ST",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052746",
            "telephone_number": "708-422-6200",
            "fax_number": "708-499-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE COMPANY OF MARY HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2010-03-22",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MANAGER BUSINESS OFFICE",
        "authorized_official_telephone_number": "708-229-5126",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "1744976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "030",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evergreen Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2010; 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.