NPIMap

Organization Active NPI

University of Chicago

  • Multi-Specialty Clinic/Center
  • Chicago, IL
National Provider Identifier
1821048786
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
UNIVERSITY OF CHICAGO
Practice address
5841 S Maryland Ave
Ucpg/MC 1099
Chicago, IL 60637-1447
Phone
(773) 702-9200
NPI assigned
May 11, 2006
Last updated
Nov 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Authorized official

Name
Mary Jean Ostrander
Title
Manager - Provider Enrollment
Phone
(773) 834-4508

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

5841 S Maryland Ave
Ucpg/MC 1099
Chicago, IL 60637-1447

Mailing address

150 Harvester Dr Ste 300
Burr Ridge, IL 60527-5965
Phone (773) 702-6400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, CA, MD, WA, FL, SC, VA, MS, MI, GA, OH, MA, DC, TX, CO, HI, IA, TN19 enrollments

Enrollment records 19

Enrollment IDStateProvider typePAC IDDetails
O20031103000094 IL Part B Supplier - Clinic/Group Practice 7719899426 Receives reassigned benefits from 2,388 practitioners
Practice locations: Kankakee, IL; Chicago, IL; Homewood, IL; Hinsdale, IL; Harvey, IL; Flossmoor, IL; Evergreen Park, IL; Evanston, IL…
O20040604000251 IN Part B Supplier - Clinic/Group Practice 7719899426 Receives reassigned benefits from 357 practitioners
Practice locations: Munster, IN; Valparaiso, IN; South Bend, IN; Schererville, IN; Mishawaka, IN; Merrillville, IN; Hobart, IN; Crown Point, IN…
O20230710001463 CA Part B Supplier - Clinic/Group Practice 7719899426 Receives reassigned benefits from 4 practitioners
Practice locations: Woodland Hills, CA; San Diego, CA; Huntington Beach, CA
O20230710003529 MD Part B Supplier - Clinic/Group Practice 7719899426 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, MD
O20230719003383 WA Part B Supplier - Clinic/Group Practice 7719899426 Receives reassigned benefits from 1 practitioner
Practice locations: Liberty Lake, WA
O20230721000071 FL Part B Supplier - Clinic/Group Practice 7719899426 Practice locations: Fort Myers, FL; North Miami Beach, FL; Sarasota, FL; Windermere, FL
O20230724003505 SC Part B Supplier - Clinic/Group Practice 7719899426 Receives reassigned benefits from 1 practitioner
Practice locations: Sullivans Island, SC
O20230806000143 VA Part B Supplier - Clinic/Group Practice 7719899426 Receives reassigned benefits from 3 practitioners
Practice locations: Glen Allen, VA; Middleburg, VA; Norfolk, VA
O20230810002435 MS Part B Supplier - Clinic/Group Practice 7719899426 Receives reassigned benefits from 1 practitioner
Practice locations: Ridgeland, MS
O20230810004147 MI Part B Supplier - Clinic/Group Practice 7719899426 Receives reassigned benefits from 1 practitioner
Practice locations: West Bloomfield, MI
O20230814000583 GA Part B Supplier - Clinic/Group Practice 7719899426 Receives reassigned benefits from 1 practitioner
Practice locations: Clayton, GA
O20230821002615 OH Part B Supplier - Clinic/Group Practice 7719899426 Receives reassigned benefits from 2 practitioners
Practice locations: Westlake, OH; New Albany, OH
O20230925001074 MA Part B Supplier - Clinic/Group Practice 7719899426 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, MA
O20231113002013 DC Part B Supplier - Clinic/Group Practice 7719899426 Receives reassigned benefits from 1 practitioner
Practice locations: Great Falls, VA
O20231120000577 TX Part B Supplier - Clinic/Group Practice 7719899426 Receives reassigned benefits from 1 practitioner
Practice locations: Terrell Hills, TX
O20240226001212 CO Part B Supplier - Clinic/Group Practice 7719899426 Receives reassigned benefits from 2 practitioners
Practice locations: Colorado Springs, CO; Parker, CO
O20240529002209 HI Part B Supplier - Clinic/Group Practice 7719899426 Receives reassigned benefits from 2 practitioners
Practice locations: Honolulu, HI; Kailua, HI
O20260430002427 IA Part B Supplier - Clinic/Group Practice 7719899426 Receives reassigned benefits from 1 practitioner
Practice locations: Keokuk, IA
O20260622001309 TN Part B Supplier - Clinic/Group Practice 7719899426 Receives reassigned benefits from 1 practitioner
Practice locations: Clarksville, TN

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory

Member organizations 19

Organizations listed as members of this organization in the National Provider Directory.

View all 19

Locations (25 of 99)

260 S Schmidt Rd
Ste D
Bolingbrook, IL 60440
Phone (630) 717-2300

180 Harvester Dr
Ste 110
Burr Ridge, IL 60527
Phone (773) 702-1061

1600 167th St
Ste 900
Calumet City, IL 60409
Phone (708) 647-7565

1101 S Canal St
Ste 101
Chicago, IL 60607
Phone (312) 854-8500

1101 S Canal St
Ste 202
Chicago, IL 60607
Phone (773) 702-4717

11725 S Perry Ave
Chicago, IL 60628
Phone (773) 535-5547

12302 S State St
Chicago, IL 60628
Phone (773) 535-5475

1301A E 47th St
Chicago, IL 60653
Phone (773) 326-3500

13231 S Burley Ave
Chicago, IL 60633
Phone (773) 535-5600

135 S La Salle St
Chicago, IL 60603

150 E Huron St
Ofc
Chicago, IL 60611
Phone (773) 834-4150

150 E Huron St
Ste 850
Chicago, IL 60611
Phone (773) 702-0506

150 E Huron St
Ste 901
Chicago, IL 60611
Phone (312) 640-1112

315 W Walton St
Chicago, IL 60610
Phone (773) 702-6176

3241 S Michigan Ave
Chicago, IL 60616
Phone (312) 225-6200

330 E 133rd St
Chicago, IL 60827
Phone (773) 535-5582

412 S Keeler Ave
Chicago, IL 60624
Phone (773) 534-6850

4259 S Cottage Grove Ave
Chicago, IL 60653

4646 S Drexel Blvd
Chicago, IL 60653

4658 S Drexel Blvd
Chicago, IL 60653

47 W Polk St
Ste 61
Chicago, IL 60605

4950 N Avers Ave
Chicago, IL 60625
Phone (773) 534-5080

515 N State St
Ste 2700
Chicago, IL 60654
Phone (312) 494-2227

5700 S Maryland Ave
#8043
Chicago, IL 60637

5758 S Maryland Ave
Ste 4D
Chicago, IL 60637

Ownership & related parties

All facility ownership & control disclosures 14

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ingalls Memorial HospitalHarvey, IL, CCN 140191 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jun 30, 2016
Ingalls Memorial HospitalHarvey, IL, CCN 14T191 Hospital 5% Or Greater Indirect Ownership Interest (100%) Jun 30, 2016
Comer Childrens HospitalChicago, IL, CCN 140088 Hospital 5% Or Greater Direct Ownership Interest Oct 1, 1986
Uchicago Medicine Northwest Indiana IncCrown Point, IN, CCN 150195 Hospital 5% Or Greater Indirect Ownership Interest (100%) Mar 23, 2022
Ucm Home CareHarvey, IL, CCN 147435 Home health agency 5% Or Greater Indirect Ownership Interest (100%) Jun 30, 2016
Ucm Center for Advanced CareElk Grove Village, IL, CCN 141626 Hospice 5% Or Greater Indirect Ownership Interest (9.84%) Dec 31, 2021
Ucm Home CareHarvey, IL, CCN 141535 Hospice 5% Or Greater Indirect Ownership Interest (100%) Jun 30, 2016
Transitions HospiceOxford, MI, CCN 231652 Hospice 5% Or Greater Indirect Ownership Interest (10.1%) Nov 7, 2022
Transitions HospiceBay City, MI, CCN 231672 Hospice 5% Or Greater Indirect Ownership Interest (10.1%) Nov 7, 2022
Highvista Private Equity VIII, LPMarshall, IL, CCN 141704 Hospice 5% Or Greater Indirect Ownership Interest (5.1%) Sep 16, 2022
Transitions Fort Wayne LLCFort Wayne, IN, CCN 151652 Hospice 5% Or Greater Indirect Ownership Interest (9.84%) Apr 1, 2022
Transitions Crown Point LLC.Crown Point, IN, CCN 151653 Hospice 5% Or Greater Indirect Ownership Interest (9.84%) Jan 10, 2022
Ucm Center for Advanced CareWorthington, OH, CCN 361730 Hospice 5% Or Greater Indirect Ownership Interest (10.1%) Dec 10, 2022
Ucm Center for Advanced CareSpringfield, IL, CCN 141752 Hospice 5% Or Greater Indirect Ownership Interest (9.84%) Jun 1, 2023

Owned or controlled facilities with NPI records 14

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 14

Practitioners & affiliated clinicians

Practitioners 2,636

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.

View all 2,636

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1821048786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HARVESTER DR STE 300",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605275965",
            "telephone_number": "773-702-6400",
            "fax_number": "773-702-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5841 S MARYLAND AVE",
            "address_2": "UCPG/MC 1099",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371447",
            "telephone_number": "773-702-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF CHICAGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "OSTRANDER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "MANAGER - PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "773-834-4508"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.