NPIMap

Organization Active NPI

Northwestern Memorial Hospital

  • Psychiatric Hospital Unit
  • Chicago, IL
National Provider Identifier
1831298926
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
0003251 Issued in IL
Legal business name
NORTHWESTERN MEMORIAL HOSPITAL
Practice address
251 E Huron St
Chicago, IL 60611-2908
Phone
(312) 926-2000
NPI assigned
Sep 22, 2006
Last updated
Jun 24, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTHWESTERN MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Authorized official

Name
Mr. John A. Orsini
Title
Sr. Vice President & Chief Finance
Phone
(312) 926-4777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 0003251 IL Primary

Addresses

Primary practice location

251 E Huron St
Chicago, IL 60611-2908

Mailing address

251 E Huron St
Chicago, IL 60611-2908
Phone (312) 926-2000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110516000453 IL Part A Provider - Hospital 0143217067 Practice locations: Chicago, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831298926. Details of each certification follow.

Hospital certification: CCN 14S281

Legal name
NORTHWESTERN MEMORIAL HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Sep 1, 1972 in IL
Enrollment address
251 E Huron St
Chicago, IL 60611-2908
Hospital Psychiatric Unit
Hospital subgroups
Acute care, Psychiatric unit

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

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Northwestern Memorial Hospital20 organizations share this tax ID, including this one
Part of
Northwestern Memorial Hospital

Other organizations with this tax ID 19

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

View all 19

Ownership & related parties

All disclosed owners & managing parties 21

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Eric G Neilson Individual Corporate Director Sep 1, 2014
Terrance D Peabody Individual Corporate Director Sep 1, 2014
Phebe Novakovic Individual Corporate DirectorDirector Mar 19, 2022
Daniel J Brat Individual Corporate DirectorDirector Mar 19, 2022
Albert M Friedman Individual Corporate DirectorDirector Mar 19, 2022
Peter D Crist Individual Corporate Director Apr 12, 2010
Christine Leahy Individual Corporate DirectorDirector Mar 19, 2022
Michael J Mullen Individual W-2 Managing Employee Jan 1, 2020
Dean M Harrison Individual Corporate OfficerCeo Oct 20, 2014
Corporate Director Jan 1, 2001
Frederick H Waddell Individual Corporate Director Jan 1, 2011
Larry D Richman Individual Corporate DirectorDirector Mar 19, 2022
Homi B Patel Individual Corporate DirectorDirector Apr 12, 2010
Sean Connolly Individual Corporate DirectorDirector Mar 19, 2022
Gregory D Smith Individual Corporate DirectorDirector Mar 19, 2022
Charles N Mills Individual Corporate DirectorDirector Mar 19, 2022
William a Vanhoene Individual Corporate Director Sep 1, 2014
Michael Joseph Schmidt Individual Corporate DirectorDirector Mar 19, 2022
John H Dick Individual Corporate Director Apr 12, 2010
John a Orsini Individual Corporate OfficerSVP, Cfo & Treasurer Oct 20, 2014
Northwestern Memorial Healthcare Organization, Chicago, IL Operational/Managerial Control Jan 17, 2001
Joseph F Damico Individual Corporate Director Sep 1, 2014

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1831298926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 E HURON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112908",
            "telephone_number": "312-926-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 E HURON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112908",
            "telephone_number": "312-926-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWESTERN MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHWESTERN MEMORIAL HOSPITAL",
        "enumeration_date": "2006-09-22",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "ORSINI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "SR. VICE PRESIDENT & CHIEF FINANCE",
        "authorized_official_telephone_number": "312-926-4777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "IL",
            "license": "0003251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.