NPIMap

Organization Active NPI

Saint Mary of Nazareth Hospital - Chicago LLC

  • Community/Retail Pharmacy
  • Chicago, IL
National Provider Identifier
1841305877
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
054.019887 Issued in IL
Legal business name
SAINT MARY OF NAZARETH HOSPITAL - CHICAGO LLC
Practice address
2233 W Division St
Chicago, IL 60622-8151
Phone
(312) 770-3444
Fax
(312) 770-3541
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 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
(909) 235-4307

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 054.019887 IL Primary

Addresses

Primary practice location

2233 W Division St
Chicago, IL 60622-8151

Mailing address

2233 W Division St
Chicago, IL 60622-8151
Phone (312) 770-3444

Other names 1

  • Prime Healthcare Rx 1001 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250627000424 IL Part B Supplier - Pharmacy 6103348479 1 other NPI on this enrollment
Practice locations: Chicago, IL

Other NPIs with the same Medicare PAC ID 3

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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.

Locations

1431 N Western Ave
Ste 134A
Chicago, IL 60622
Phone (312) 633-5858

2222 W Division St
Ste 200
Chicago, IL 60622
Phone (773) 342-5781

1658 N Milwaukee Ave
Ste C
Chicago, IL 60647
Phone (773) 355-2812

1127 N Oakley Blvd
Fl 3
Chicago, IL 60622
Phone (312) 770-2317

4705 W Foster Ave
Ste B6
Chicago, IL 60630
Phone (224) 273-6534

2520 W North Ave
Ste 2520A
Chicago, IL 60647
Phone (224) 273-6557

1431 N Western Ave
Ste 133
Chicago, IL 60622
Phone (773) 342-5781

1127 N Oakley Blvd
Lowr
Chicago, IL 60622
Phone (312) 770-2317

2917 W Addison St
Chicago, IL 60618
Phone (224) 273-6540

4588 Collection Paysphere
Chicago, IL 60674

947 Elmhurst Rd
Des Plaines, IL 60016
Phone (224) 273-6567

2302 State Route 59
Plainfield, IL 60586
Phone (630) 856-6423

630 E Golf Rd
Ste 502
Schaumburg, IL 60173
Phone (224) 273-6554

Practitioners & affiliated clinicians

Practitioners 8

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": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1841305877",
    "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": "312-770-3444",
            "fax_number": "312-770-3541"
        },
        {
            "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": "312-770-3444",
            "fax_number": "312-770-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MARY OF NAZARETH HOSPITAL - CHICAGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "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": "909-235-4307"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IL",
            "license": "054.019887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Healthcare Rx 1001",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.