NPIMap

Gottlieb Community Health Services Corporation

Organization Active NPI Psychiatric Hospital Unit · Berwyn, IL

NPI 1700864352 · NPPES record last updated Jun 16, 2025

Key facts

NPI
1700864352
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric Hospital Unit 273R00000X
License
0005082 (IL)
Legal business name
GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION
Practice address
3249 South Oak Park Ave
Berwyn, IL 60402
Phone
(708) 783-3222
Fax
(708) 783-3489
NPI assigned
Jan 4, 2006
Organization subpart
No

Authorized official

Name
Adenrele Kolawole
Title
Director Billing and Collections
Phone
(708) 216-3743

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 157

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 157

Practitioners 138

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 138

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Hospital certification: CCN 14S054

Legal name
GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION
Doing business as
MACNEAL HOSPITAL
Organization structure
Corporation · Non-profit
Enrollment address
3249 Oak Park Ave
Berwyn, IL 60402-3429
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Charles Bareis
Individual 		Corporate Officer
President		 May 3, 2025
Corporate Director
Board Member		 Jan 1, 2026
Elizabeth Early
Individual 		Corporate Director
Board Member		 Jan 1, 2022
Eva Maria Wojcik
Individual 		Corporate Director
Board Member		 Jan 1, 2022
Sarah Hunter
Individual 		Corporate Director
Board Member		 Jan 1, 2026
Melissa Lukasick
Individual 		Corporate Officer
Treasurer		 Jan 1, 2022
Bertina Barnes
Individual 		Corporate Officer
Asst Secretary		 Jan 1, 2024
Marc H Schwartz
Individual 		Corporate Officer
Board Chair		 Jan 1, 2022
Corporate Director
Board Member		 Jan 1, 2022
Maria J Pekar
Individual 		Corporate Officer
Asst Secretary		 Jan 1, 2022
Joy V Cunningham
Individual 		Corporate Director
Board Member		 Jan 1, 2022
Juan Gaytan
Individual 		Corporate Director
Board Member		 Mar 28, 2025
Jill Rappis
Individual 		Corporate Officer
Secretary		 Jan 1, 2022
Adenrele Adekunbi Kolawole
Individual 		Corporate Officer
Director Central Billing Operations		 Jan 1, 2022
Operational/Managerial Control
Executive With Control		 Jan 1, 2022
Loyola University Health System
Organization · Maywood, IL
Corporation, Non-profit, Owned by another organization or individual 		5% Or Greater Direct Ownership Interest Jul 1, 2008 100%
Trinity Health Corporation
Organization · Livonia, MI
Corporation, Non-profit, Chain home office 		5% Or Greater Indirect Ownership Interest Jul 1, 2011 100%

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250714000498 IL Part a Provider - Hospital 3375442999 Practice locations: Berwyn, IL

National Provider Directory

Locations

2550 Oak Park Ave
Berwyn, IL 60402
Phone (708) 484-4737

7107 W Belmont Ave
Ste 7
Chicago, IL 60634
Phone (773) 456-7587

7255 W Grand Ave
Ste 2
Elmwood Park, IL 60707
Phone (708) 452-5960

675 W North Ave
Ste 512
Melrose Park, IL 60160
Phone (708) 450-5090

701 W North Ave
Fl First
Melrose Park, IL 60160
Phone (708) 681-7373

675 W North Ave
Ste 414
Melrose Park, IL 60160
Phone (708) 681-7585

1100 Lake St
Ste 150
Oak Park, IL 60301
Phone (331) 221-9003

8488 Grand Ave
River Grove, IL 60171
Phone (708) 456-4944

3722 Harlem Ave
Ste LL34
Riverside, IL 60546
Phone (708) 783-6566

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 0005082 IL Yes

Addresses

Primary practice location

3249 South Oak Park Ave
Berwyn, IL 60402

Mailing address

3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone (615) 665-6000

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Other providers in Berwyn, IL

All providers in Berwyn, IL · Psychiatric Hospital Unit in Illinois

Sources for this page

Verify at the official NPI Registry.