NPIMap

Organization Active NPI

Mercy Phillips Health Center

  • Student Health Clinic/Center
  • Chicago, IL
National Provider Identifier
1730310251
Registry record updated Jul 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
0001578 Issued in IL
Legal business name
MERCY PHILLIPS HEALTH CENTER
Practice address
244 E Pershing Rd
Chicago, IL 60653-2222
Phone
(312) 567-7058
Fax
(312) 328-7982
NPI assigned
Jul 31, 2009
Last updated
Jul 13, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY HOSPITAL & MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 13, 2017

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

Authorized official

Name
Mrs. Patrice Kathleen GriffinNPI 1184998627
Title
Delegated Official
Phone
(312) 567-5593

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X 0001578 IL Primary
Clinical Medical Laboratory 291U00000X 771115016 IL

Addresses

Primary practice location

244 E Pershing Rd
Chicago, IL 60653-2222

Mailing address

244 E Pershing Rd
Chicago, IL 60653-2222
Phone (312) 567-7058

Other identifiers 2

IdentifierTypeStateIssuer
771115016OtherILDHS
14D1036279OtherILCLIA

National Provider Directory

National Provider Directory
Tax ID family
Mercy Medical Center6 organizations share this tax ID, including this one
Part of
Mercy Medical Center

Other organizations with this tax ID 5

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

Locations

244 E Pershing Rd
Chicago, IL 60653
Phone (312) 567-7058

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499904000000",
    "number": "1730310251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 E PERSHING RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606532222",
            "telephone_number": "312-567-7058",
            "fax_number": "312-328-7982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 E PERSHING RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606532222",
            "telephone_number": "312-567-7058",
            "fax_number": "312-328-7982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY PHILLIPS HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HOSPITAL & MEDICAL CENTER",
        "enumeration_date": "2009-07-31",
        "last_updated": "2017-07-13",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "312-567-5593",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "IL",
            "license": "0001578",
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "IL",
            "license": "771115016",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS",
            "identifier": "771115016",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "14D1036279",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 13, 2017; 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.