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Organization Active NPI

Saint Mary of Nazareth Hospital - Chicago LLC

  • Rehabilitation Hospital Unit
  • Chicago, IL
National Provider Identifier
1750190542
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
SAINT MARY OF NAZARETH HOSPITAL - CHICAGO LLC
Practice address
2233 W Division St
Chicago, IL 60622-8151
Phone
(773) 572-8500
NPI assigned
Jan 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Christopher Doan
Title
Managing Associate General Counsel
Phone
(310) 259-4706

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

2233 W Division St
Chicago, IL 60622-8151

Mailing address

2233 W Division St
Chicago, IL 60622-8151
Phone (773) 572-8500

Other names 1

  • Saint Mary of Nazareth Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250319003937 IL Part A Provider - Hospital 6103348479 Practice locations: Chicago, IL

Hospital certification: CCN 14T180

Legal name
SAINT MARY OF NAZARETH HOSPITAL - CHICAGO LLC
Doing business as
SAINT MARY OF NAZARETH HOSPITAL
Organization structure
LLCProprietary
Enrollment address
2233 W Division St
Chicago, IL 60622-8151
Hospital Psychiatric Unit
Hospital subgroups
Rehabilitation unit

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

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Amita Health Saints Mary and St Elizabeth Med CtrCCN 14T180
Ownership
Non-profit
Certified
Jan 1, 1984

National Provider Directory

National Provider Directory
Tax ID family
Saint Mary of Nazareth Hospital - Chicago LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

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
Prime Healthcare Services, Inc Organization, Ontario, CA Corporation, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Mar 20, 2024 100%
Steven Aleman Individual Corporate OfficerChief Financial Officer Mar 20, 2024
W-2 Managing EmployeeChief Financial Officer Mar 20, 2024
Christopher Doan Individual Corporate OfficerManaging Associate General Counsel Mar 20, 2024
W-2 Managing EmployeeManaging Associate General Counsel Mar 20, 2024
Prime Healthcare Holdings Inc Organization, Ontario, CA Corporation, Holding company, For-profit 5% Or Greater Indirect Ownership Interest Mar 20, 2024 100%

Facilities with the same owner 77

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 77

Practitioners & affiliated clinicians

Affiliated clinicians 3

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

NPI Registry JSON

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1750190542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228151",
            "telephone_number": "773-572-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228151",
            "telephone_number": "773-572-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MARY OF NAZARETH HOSPITAL - CHICAGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "MANAGING ASSOCIATE GENERAL COUNSEL",
        "authorized_official_telephone_number": "310-259-4706"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Mary of Nazareth Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.