St Mary and Elizabeth Medical Center

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

ST MARY AND ELIZABETH MEDICAL CENTER

Practice address

3220 N Kildare Ave
Chicago, IL 60641-4531

Phone

(773) 908-2242

NPI assigned

Sep 14, 2012

Last updated

Sep 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Martin Saucedo, MA-QMHP

Title

ER. Crisis Worker Coordinator

Phone

(312) 770-3501

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

St Mary and Elizabeth Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• St Mary's Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1972872992
  NPD tax ID

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1720338981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 W DIVISION",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606224531",
            "telephone_number": "312-770-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 N KILDARE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414531",
            "telephone_number": "773-908-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY AND ELIZABETH MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "SAUCEDO",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "ER. CRISIS WORKER COORDINATOR",
        "authorized_official_telephone_number": "312-770-3501",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA-QMHP"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "362171079",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362171079",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St Joseph Hospital
• St Joseph Hospital
• St Jude Medical Clinic SC
• Andrea Gabrielle St Laurent, DO
• St Margaret Mercy Healthcare Centers, Inc. (Hegewisch Health Center)
• St Mary's Hospital
• St Michaels Counseling Center
• Brandon St Peters, DPT
• Zachary Rock St Pierre, PHARMD
• St Thomas Health Care Inc (Wailai Home Health Services)

• General Acute Care Hospital in Chicago, IL
• Providers in Chicago, IL by specialty
• General Acute Care Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.