Active NPI
Good Samaritan Hospital
- General Acute Care Hospital
- Downers Grove, IL
National Provider Identifier
1730833088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- GOOD SAMARITAN HOSPITAL
- Practice address
- 3815 Highland Ave
Downers Grove, IL 60515-1500 - Phone
- (630) 575-3323
- Fax
- (630) 645-4602
- NPI assigned
- Feb 7, 2022
- Last updated
- Feb 7, 2022
- Organization subpart
- Yes
- Parent organization
- GOOD SAMARITAN HOSPITAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yolanda Sallie
- Title
- Biller
- Phone
- (630) 575-3323
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Primary |
Addresses
Primary practice location
3815 Highland Ave
Downers Grove, IL 60515-1500
Mailing address
PO Box 93548
Chicago, IL 60673-3548
Phone (630) 575-3323
Other practice location 1
4440 W 95th St
Oak Lawn, IL 60453-2600
Phone (630) 575-3323
National Provider Directory
National Provider Directory- Part of
- Lulla Sunil MD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644192000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644192000000",
"number": "1730833088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 93548",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606733548",
"telephone_number": "630-575-3323",
"fax_number": "630-645-4602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3815 HIGHLAND AVE",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151500",
"telephone_number": "630-575-3323",
"fax_number": "630-645-4602"
}
],
"practiceLocations": [
{
"address_1": "4440 W 95th St",
"address_purpose": "LOCATION",
"city": "Oak Lawn",
"state": "IL",
"postal_code": "604532600",
"country_code": "US",
"telephone_number": "630-575-3323",
"fax_number": "630-645-4602",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GOOD SAMARITAN HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GOOD SAMARITAN HOSPITAL",
"enumeration_date": "2022-02-07",
"last_updated": "2022-02-07",
"certification_date": "2022-02-07",
"status": "A",
"authorized_official_last_name": "SALLIE",
"authorized_official_first_name": "YOLANDA",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "630-575-3323"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.