NPIMap

Organization Active NPI

Alexian Brothers Medical Center

  • Rehabilitation Hospital Unit
  • Elk Grove Village, IL
National Provider Identifier
1902941628
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
ALEXIAN BROTHERS MEDICAL CENTER
Practice address
935 Beisner Rd
Elk Grove Village, IL 60007-3475
Phone
(847) 640-5600
NPI assigned
Feb 20, 2007
Last updated
Jan 27, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
ALEXIAN BROTHERS MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Authorized official

Name
Lisa Neuman
Title
Vice President, Budget/Decision
Phone
(847) 437-5500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

935 Beisner Rd
Elk Grove Village, IL 60007-3475

Mailing address

800 Biesterfield Rd
Elk Grove Village, IL 60007-3311

Other identifiers 2

IdentifierTypeStateIssuer
368OtherBCBS
130748200OtherFED WORKERS COMPENSATION

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.mettles.com/ Other

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070928000278 IL Part A Provider - Hospital 7315859170 Practice locations: Elk Grove Village, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902941628. Details of each certification follow.

Hospital certification: CCN 14T258

Legal name
ALEXIAN BROTHERS MEDICAL CENTER
Doing business as
ALEXIAN BROTHERS MEDICAL
Organization structure
CorporationNon-profit
Incorporated
Apr 21, 1971 in TX
Enrollment address
935 Beisner Rd
Elk Grove Village, IL 60007-3475
Hospital Rehabilitation Unit
Hospital subgroups
General, Rehabilitation, Short-term, Rehabilitation unit

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Inpatient rehabilitation facility

Medicare Care Compare
Listed as
Alexian Brothers Medical CenterCCN 14T258 · All quality measures
Ownership
Non-profit
Certified
Jan 1, 1984

National Provider Directory

National Provider Directory
Part of
Alexian Brothers Med CT

Locations

701 Biesterfield Rd
Ste 1A
Elk Grove Village, IL 60007
Phone (224) 273-5060

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Eric Zornow Individual Corporate OfficerCfo Feb 17, 2025
W-2 Managing EmployeeCfo Feb 17, 2025
Mary Jo Mackniskas Individual Corporate Officer Mar 1, 2020
W-2 Managing EmployeeSenior Director Mar 1, 2020
Alexian Brothers Health System Organization, Chicago, IL Corporation, Non-profit Operational/Managerial Control Jan 11, 2008
Ascension Health Organization, Saint Louis, MO Corporation, Non-profit Operational/Managerial Control Apr 1, 2022
Polly Davenport Individual Corporate Officer Apr 1, 2022

Facilities with the same owner 157

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 157

Practitioners & affiliated clinicians

Affiliated clinicians 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737936000000",
    "number": "1902941628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 BEISNER RD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073475",
            "telephone_number": "847-640-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXIAN BROTHERS MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALEXIAN BROTHERS MEDICAL CENTER",
        "enumeration_date": "2007-02-20",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A",
        "authorized_official_last_name": "NEUMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "VICE PRESIDENT, BUDGET/DECISION",
        "authorized_official_telephone_number": "847-437-5500"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "368",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED WORKERS COMPENSATION",
            "identifier": "130748200",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.mettles.com/",
            "affiliation": "N",
            "endpointDescription": "2.16.840.1.113883.3.6037.1",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "10320 Little Patuxent Pkwy Ste 233-02",
            "city": "Columbia",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210443313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

Verify at the official NPI Registry.