Organization Active NPI

Presence St Joseph Hospital

  • Long Term Care Hospital
  • Chicago, IL
National Provider Identifier
1730589946
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
PRESENCE ST JOSEPH HOSPITAL
Practice address
2900 N Lake Shore Dr
Suite 203, Medical Education Building
Chicago, IL 60657-5640
Phone
(773) 665-3022
Fax
(773) 665-3228
NPI assigned
Aug 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Trish Boskovik
Title
Medical Education Coordinator
Phone
(773) 665-3022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X IL Primary

Addresses

Primary practice location

2900 N Lake Shore Dr
Suite 203, Medical Education Building
Chicago, IL 60657-5640

Mailing address

2900 N Lake Shore Dr
Suite 203, Medical Education Building
Chicago, IL 60657-5640
Phone (773) 665-3022

National Provider Directory

National Provider Directory

Locations

2900 N Lake Shore Dr
Ste 203
Chicago, IL 60657
Phone (773) 665-3022

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1730589946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N LAKE SHORE DR",
            "address_2": "SUITE 203, MEDICAL EDUCATION BUILDING",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575640",
            "telephone_number": "773-665-3022",
            "fax_number": "773-665-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N LAKE SHORE DR",
            "address_2": "SUITE 203, MEDICAL EDUCATION BUILDING",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575640",
            "telephone_number": "773-665-3022",
            "fax_number": "773-665-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENCE ST JOSEPH HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BOSKOVIK",
        "authorized_official_first_name": "TRISH",
        "authorized_official_title_or_position": "MEDICAL EDUCATION COORDINATOR",
        "authorized_official_telephone_number": "773-665-3022",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 21, 2022; 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.