Presence Holy Family Medical Center

Primary specialty

Long Term Care HospitalTaxonomy code 282E00000X

Legal business name

PRESENCE HOLY FAMILY MEDICAL CENTER

Practice address

100 N. River Road
Des Plaines, IL 60016-0000

Phone

(847) 297-1800

NPI assigned

Nov 30, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Melvonne Wickliffe-Jones

Title

Credentialing MGR

Phone

(630) 914-2417

Specialties & licenses 2

Addresses

Other names 1

• Holy Family Medical Center Former legal business name

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1649515735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 REMINGTON BLVD",
            "address_2": "SUITE 100",
            "city": "BOLLINGBROOK",
            "state": "IL",
            "postal_code": "604400000",
            "telephone_number": "630-914-2417",
            "fax_number": "630-914-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N. RIVER ROAD",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600160000",
            "telephone_number": "847-297-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENCE HOLY FAMILY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-30",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "WICKLIFFE-JONES",
        "authorized_official_first_name": "MELVONNE",
        "authorized_official_title_or_position": "CREDENTIALING MGR",
        "authorized_official_telephone_number": "630-914-2417",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "IL",
            "license": "056007151",
            "primary": false
        },
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holy Family Medical Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Long Term Care Hospital in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Long Term Care Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.