Active NPI
Kindred THC Chicago, LLC
- Long Term Care Hospital
- Chicago, IL
National Provider Identifier
1871678334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Hospital
- License
- 0004937
- Legal business name
- KINDRED THC CHICAGO, LLC
- Doing business as
- Kindred Hospital - Chicago
- Practice address
- 2544 W Montrose Ave
Chicago, IL 60618 - Phone
- (773) 267-2622
- Fax
- (773) 267-2685
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Terrance K. Dillon
- Title
- Assistant Secretary
- Phone
- (502) 596-7220
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | |||
| Long Term Care Hospital | 282E00000X | 0004937 | IL | Primary |
Addresses
Primary practice location
2544 W Montrose Ave
Chicago, IL 60618
Mailing address
2544 W Montrose Ave
Chicago, IL 60618-1537
Phone (773) 267-2622
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 106 | Other | IL | BLUE CROSS |
Other names 1
- Kindred Hospital - Chicago
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557100800000",
"number": "1871678334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2544 W MONTROSE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606181537",
"telephone_number": "773-267-2622",
"fax_number": "773-267-2685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2544 W MONTROSE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60618",
"telephone_number": "773-267-2622",
"fax_number": "773-267-2685"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KINDRED THC CHICAGO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2019-05-06",
"status": "A",
"authorized_official_last_name": "DILLON",
"authorized_official_first_name": "TERRANCE",
"authorized_official_middle_name": "K.",
"authorized_official_title_or_position": "ASSISTANT SECRETARY",
"authorized_official_telephone_number": "502-596-7220",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": null,
"license": null,
"primary": false
},
{
"code": "282E00000X",
"taxonomy_group": "",
"desc": "Long Term Care Hospital",
"state": "IL",
"license": "0004937",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "106",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kindred Hospital - Chicago",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Kindred Hospital - Chicago",
"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 May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.