NPIMap

Organization Active NPI

Thorek Memorial Hospital

Doing business as Methodist Hospital of Chicago

  • General Acute Care Hospital
  • Chicago, IL
National Provider Identifier
1891755351
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
0000125 Issued in IL
Legal business name
THOREK MEMORIAL HOSPITAL
Doing business as
Methodist Hospital of Chicago
Thorek Memorial Hospital dba Methodist Hospital of Chicago
Practice address
5025 N Paulina St
Chicago, IL 60640-2772
Phone
(773) 271-9040
Fax
(773) 271-2010
NPI assigned
Mar 27, 2006
Last updated
Jul 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Authorized official

Name
Edward Budd
Title
Ceo
Phone
(773) 975-6705

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 0000125 IL
General Acute Care Hospital 282N00000X 0000125 IL Primary

Addresses

Primary practice location

5025 N Paulina St
Chicago, IL 60640-2772

Mailing address

5025 N Paulina St
Chicago, IL 60640-2772
Phone (773) 271-9040

Other identifiers 2

IdentifierTypeStateIssuer
362012788002MedicaidIL
362012788001MedicaidIL

Other names 2

  • Methodist Hospital of Chicago Doing business as
  • Thorek Memorial Hospital dba Methodist Hospital of Chicago Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191030003682 IL Part A Provider - Hospital 4981593399 Practice locations: Chicago, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891755351. Details of each certification follow.

Hospital certification: CCN 140197

Legal name
THOREK MEMORIAL HOSPITAL
Doing business as
METHODIST HOSPITAL OF CHICAGO
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
May 24, 2022
Beds
245
Ownership / control type
Private (not for profit)
Most recent change of ownership
Oct 1, 2019 (2 total)
Organization structure
CorporationNon-profit
Incorporated
Dec 30, 1937 in IL
Enrollment address
5025 N Paulina St
Chicago, IL 60640-2772
Other Hospital Practice Location
Hospital subgroups
General, Acute care

Other NPIs with the same Medicare PAC ID 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Methodist Hospital of ChicagoCCN 140197 · All quality measures
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0427262Thorek Memorial Hospital - Andersonville5025 N Paulina St, Chicago, IL 60640AccreditationJul 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Thorekk Hosp5 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.

Member organizations 1

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

Locations

Dept 4109
Carol Stream, IL 60122

2242 N Kedzie Blvd
Chicago, IL 60647
Phone (773) 227-3770

2331 W Chicago Ave
Chicago, IL 60622
Phone (773) 772-7858

2444 W Touhy Ave
Chicago, IL 60645
Phone (773) 224-7705

2515 W Chicago Ave
Chicago, IL 60622
Phone (312) 583-1066

4621 N Sheridan Rd
Chicago, IL 60640
Phone (773) 334-6601

5510 W Montrose Ave
Chicago, IL 60641
Phone (773) 282-4700

5838 N Sheridan Rd
Chicago, IL 60660
Phone (773) 769-2230

840 W Irving Park Rd
#301
Chicago, IL 60613
Phone (240) 245-0890

840 W Irving Park Rd
#305
Chicago, IL 60613
Phone (773) 447-0200

845 N Michigan Ave
Ste 976W
Chicago, IL 60611
Phone (312) 225-1860

920 W Lawrence Ave
Chicago, IL 60640
Phone (773) 271-0144

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Cynthia Barrera Individual Corporate OfficerAssistant Secretary Oct 1, 2019
Peter N Kamberos Individual Corporate OfficerChairman, Board of Trustees Oct 1, 2019
Corporate DirectorTrustee Oct 1, 2019
Timothy D Heinrich Individual W-2 Managing EmployeeChief Financial Officer Oct 1, 2019
Phillip B Gorelick Individual Corporate DirectorTrustee Oct 1, 2019
Edward J Budd Individual Corporate OfficerPresident and Ceo Oct 1, 2019
Operational/Managerial ControlPresident and Ceo Oct 1, 2019
James E Nugent Individual Corporate OfficerVice Chairman & Vice President Oct 1, 2019
Corporate DirectorTrustee Oct 1, 2019
Robert J Baudino Individual Corporate DirectorTrustee Oct 1, 2019

Practitioners & affiliated clinicians

Practitioners 60

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 60

Affiliated clinicians 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1891755351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5025 N PAULINA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402772",
            "telephone_number": "773-271-9040",
            "fax_number": "773-271-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5025 N PAULINA ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402772",
            "telephone_number": "773-271-9040",
            "fax_number": "773-271-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOREK MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "BUDD",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-975-6705"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "IL",
            "license": "0000125",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "0000125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362012788002",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362012788001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Methodist Hospital of Chicago",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Thorek Memorial Hospital dba Methodist Hospital of Chicago",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.