Active NPI
Lutheran General Hospital
- Psychiatric Hospital
- Park Ridge, IL
National Provider Identifier
1891830352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- License
- 149007270
- Legal business name
- LUTHERAN GENERAL HOSPITAL
- Practice address
- 1775 W Dempster St
Park Ridge, IL 60068-1143 - Phone
- (847) 723-2210
- NPI assigned
- Feb 21, 2007
- 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
- Mrs. Tracy Leigh McCafferty, LCSW
- Title
- Social Work
- Phone
- (847) 723-2012
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | 149007270 | IL | Primary |
Addresses
Primary practice location
1775 W Dempster St
Park Ridge, IL 60068-1143
Mailing address
1775 West Dempster Ave
Park Ridge, IL 60068
Phone (847) 723-2210
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213660800000",
"number": "1891830352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1775 WEST DEMPSTER AVE",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "60068",
"telephone_number": "847-723-2210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1775 W DEMPSTER ST",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600681143",
"telephone_number": "847-723-2210"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUTHERAN GENERAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2008-06-17",
"status": "A",
"authorized_official_last_name": "MCCAFFERTY",
"authorized_official_first_name": "TRACY",
"authorized_official_middle_name": "LEIGH",
"authorized_official_title_or_position": "SOCIAL WORK",
"authorized_official_telephone_number": "847-723-2012",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "IL",
"license": "149007270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.