NPIMap

Organization Active NPI

Presence Chicago Hospitals Network

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1700251683
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PRESENCE CHICAGO HOSPITALS NETWORK
Doing business as
Presence SJHC Specialty Group
Practice address
2900 N Lake Shore Dr
2ND Floor
Chicago, IL 60657-5640
Phone
(773) 665-3000
NPI assigned
Dec 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Authorized official

Name
Brian Rasmus
Title
Cfo
Phone
(630) 914-2468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2900 N Lake Shore Dr
2ND Floor
Chicago, IL 60657-5640

Mailing address

2900 N Lake Shore Dr
2ND Floor
Chicago, IL 60657-5640

Other names 1

  • Presence SJHC Specialty Group Doing business as

National Provider Directory

National Provider Directory

Locations

13400 S Route 59
Plainfield, IL 60585
Phone (815) 246-2075

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1700251683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N LAKE SHORE DR",
            "address_2": "2ND FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N LAKE SHORE DR",
            "address_2": "2ND FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575640",
            "telephone_number": "773-665-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENCE CHICAGO HOSPITALS NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "RASMUS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "630-914-2468"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Presence SJHC Specialty Group",
            "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 Jan 5, 2016; 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.