Merit Lincoln Park LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

0005256 Issued in IL

Legal business name

MERIT LINCOLN PARK LLC

Doing business as

Lincoln Park Hospital

Practice address

550 W Webster Ave
Chicago, IL 60614-3965

Phone

(773) 883-3800

Fax

(773) 883-5168

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John B Ansorge

Title

Cfo

Phone

(773) 883-3809

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Lincoln Park Hospital Doing business as

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902910490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W WEBSTER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143965",
            "telephone_number": "773-883-3800",
            "fax_number": "773-883-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W WEBSTER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143965",
            "telephone_number": "773-883-3800",
            "fax_number": "773-883-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIT LINCOLN PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANSORGE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "773-883-3809",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "0005256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARMONY HEALTHCARE",
            "identifier": "241307",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BX PROVIDER NUMBER",
            "identifier": "50119",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lincoln Park Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Meriggioli, M.D.
• Saul Merin, MD
• Pamela Imelda Merino Hernandez, LCSW
• Merit Center for Sleep Health of Chicago Lakeshore, LLC
• Merit Lincoln Park LLC
• Merit Lincoln Park, LLC
• Symone Meriwether, ND, CNS, LDN
• Bradley Ryan Merk, MD
• Hailey Christa Merk, MSM, MMS, PA-C
• Andrew Merker, PHARMD

• General Acute Care Hospital in Chicago, IL
• Providers in Chicago, IL by specialty
• General Acute Care Hospital in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.