NPIMap

Organization Active NPI

Mercy Hospital D&T Clinic

  • General Acute Care Hospital
  • Chicago, IL
National Provider Identifier
1619918497
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
001 Issued in IL
Legal business name
MERCY HOSPITAL D&T CLINIC
Practice address
2525 S Michigan Ave
1St FLR.
Chicago, IL 60616-2333
Phone
(312) 567-2128
Fax
(312) 328-7702
NPI assigned
Jun 10, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY HOSPITAL & MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Paula Schipiour
Title
Director
Phone
(312) 567-5578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 001 IL Primary

Addresses

Primary practice location

2525 S Michigan Ave
1St FLR.
Chicago, IL 60616-2333

Mailing address

2525 S Michigan Ave
1St FLR.
Chicago, IL 60616-2333
Phone (312) 567-2128

Other identifiers 2

IdentifierTypeStateIssuer
3720708OtherILFQHC SITE
01621679OtherILBCBSIL

National Provider Directory

National Provider Directory
Tax ID family
Mercy Hospital DT Clinic3 organizations share this tax ID, including this one
Part of
Mercy Hospital

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1619918497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 S MICHIGAN AVE",
            "address_2": "1ST FLR.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162333",
            "telephone_number": "312-567-2128",
            "fax_number": "312-328-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S MICHIGAN AVE",
            "address_2": "1ST FLR.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162333",
            "telephone_number": "312-567-2128",
            "fax_number": "312-328-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL D&T CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HOSPITAL & MEDICAL CENTER",
        "enumeration_date": "2006-06-10",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SCHIPIOUR",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "312-567-5578",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FQHC SITE",
            "identifier": "3720708",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL",
            "identifier": "01621679",
            "state": "IL"
        }
    ],
    "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 Jul 21, 2022; 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.