NPIMap

Organization Active NPI

Holy Cross Hospital

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1952373557
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HOLY CROSS HOSPITAL
Practice address
2701 W 68TH St
Chicago, IL 60629-1813
Phone
(773) 471-5547
NPI assigned
Feb 7, 2006
Last updated
Nov 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Gary Zmrhal
Title
Delegated Official
Phone
(773) 471-5547

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X IL
Internal Medicine Physician 207R00000X IL Primary
Obstetrics & Gynecology Physician 207V00000X IL
Otolaryngology Physician 207Y00000X IL
Pediatrics Physician 208000000X IL
Neurology Physician 2084N0400X IL

Addresses

Primary practice location

2701 W 68TH St
Chicago, IL 60629-1813

Mailing address

PO Box 5899
Chicago, IL 60680-5899
Phone (866) 250-9067

Other names 1

  • Neighborhood Affliates Other name

National Provider Directory

National Provider Directory

Locations

2701 W 68th St
Ste 6
Chicago, IL 60629

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1952373557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5899",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606805899",
            "telephone_number": "866-250-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W 68TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606291813",
            "telephone_number": "773-471-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY CROSS HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-07",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "ZMRHAL",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "DELEGATED OFFICIAL",
        "authorized_official_telephone_number": "773-471-5547"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neighborhood Affliates",
            "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 7, 2007; 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.