NPIMap

Organization Active NPI

Bethany Homes and Methodist Hospital

Doing business as Methodist Hospital of Chicago

  • Adult Mental Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1669708210
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
BETHANY HOMES AND METHODIST HOSPITAL
Doing business as
Methodist Hospital of Chicago
Practice address
5009 N Sheridan Rd
Chicago, IL 60640-3117
Phone
(773) 271-9040
Fax
(773) 989-1377
NPI assigned
Nov 2, 2009
Last updated
Nov 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Authorized official

Name
Mr. Harold Marshall Reisler
Title
Controller
Phone
(773) 989-1465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

5009 N Sheridan Rd
Chicago, IL 60640-3117

Mailing address

5025 N Paulina St
Chicago, IL 60640-2772
Phone (773) 989-1465

Other names 1

  • METHODIST HOSPITAL OF CHICAGO Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sanjoy Majumdar MD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1669708210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 N PAULINA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402772",
            "telephone_number": "773-989-1465",
            "fax_number": "773-989-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 N SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606403117",
            "telephone_number": "773-271-9040",
            "fax_number": "773-989-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHANY HOMES AND METHODIST HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "REISLER",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "MARSHALL",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "773-989-1465",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "METHODIST HOSPITAL OF CHICAGO",
            "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 Nov 2, 2009; 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.