NPIMap

Organization Active NPI

Saints Mary and Elizabeth Medical Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
National Provider Identifier
1922375658
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
2584 Issued in IL
Legal business name
SAINTS MARY AND ELIZABETH MEDICAL CENTER
Practice address
1127 N. Oakley--3Rd Floor
Nazareth Family Center
Chicago, IL 60622
Phone
(312) 770-2317
Fax
(312) 770-2557
NPI assigned
Nov 23, 2011
Organization subpart
Yes
Parent organization
SAINTS MARY AND ELIZABETH MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Mr. Frank Perham
Title
Vice President, Resurrection Behavi
Phone
(708) 338-3806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 2584 IL Primary

Addresses

Primary practice location

1127 N. Oakley--3Rd Floor
Nazareth Family Center
Chicago, IL 60622

Mailing address

1127 N. Oakley--3Rd Floor
Nazareth Family Center
Chicago, IL 60622
Phone (312) 770-2317

Other names 1

  • Resurrection Behavioral Health Other name

National Provider Directory

National Provider Directory
Tax ID family
St Mary Nazareth Hosp9 organizations share this tax ID, including this one
Part of
St Mary Nazareth Hosp

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1922375658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 N. OAKLEY--3RD FLOOR",
            "address_2": "NAZARETH FAMILY CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60622",
            "telephone_number": "312-770-2317",
            "fax_number": "312-770-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 N. OAKLEY--3RD FLOOR",
            "address_2": "NAZARETH FAMILY CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60622",
            "telephone_number": "312-770-2317",
            "fax_number": "312-770-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINTS MARY AND ELIZABETH MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINTS MARY AND ELIZABETH MEDICAL CENTER",
        "enumeration_date": "2011-11-23",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "PERHAM",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "VICE PRESIDENT, RESURRECTION BEHAVI",
        "authorized_official_telephone_number": "708-338-3806",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "IL",
            "license": "2584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resurrection Behavioral Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 23, 2011; 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.