NPIMap

Organization Active NPI

Saint Anthony Hospital

  • General Acute Care Hospital
  • Chicago, IL
National Provider Identifier
1710877386
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
SAINT ANTHONY HOSPITAL
Practice address
1371 W Randolph
Unit #3
Chicago, IL 60607
Phone
(773) 484-1000
NPI assigned
Jul 7, 2025
Last updated
Jul 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Authorized official

Name
Dennis O Anosike
Title
Cfo
Phone
(773) 484-4783

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Physical Therapy Clinic/Center 261QP2000X
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

1371 W Randolph
Unit #3
Chicago, IL 60607

Mailing address

1340 S Damen Ave Ste 200
Chicago, IL 60608-1170
Phone (773) 484-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090609000357 IL Part A Provider - Hospital 2365541950 8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chicago, IL; Cicero, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710877386. Details of each certification follow.

Hospital certification: CCN 140095

Legal name
SAINT ANTHONY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 13, 2021
Beds
176
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
2875 W 19TH St
Chicago, IL 60623-3501
Main/Primary Hospital Location
Hospital subgroups
Acute care, Children’s, Psychiatric unit

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

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Saint Anthony HospitalCCN 140095 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Cath HLTH Prtnr Med Dba14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

4455 S Kedzie Ave
Chicago, IL 60632
Phone (773) 523-0400

4769 W Cermak Rd
Cicero, IL 60804
Phone (312) 413-7425

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Tyla Courtney Individual Corporate DirectorBoard Member Jul 1, 2012
Wayne M Detmer Individual Corporate DirectorBoard Member Apr 30, 2009
Dennis O Anosike Individual Corporate OfficerCfo Dec 11, 2024
Corporate DirectorCfo Dec 11, 2024
W-2 Managing EmployeeCfo Jun 1, 2024
Frank W Zappa Individual Corporate DirectorBoard Member Aug 1, 2009

Owners & managing parties with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 5

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.

Affiliated clinicians 139

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 139

NPI Registry JSON

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1710877386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 S DAMEN AVE STE 200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081170",
            "telephone_number": "773-484-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1371 W RANDOLPH",
            "address_2": "UNIT #3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60607",
            "telephone_number": "773-484-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT ANTHONY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "ANOSIKE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "773-484-4783"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.