Active NPI
Swedish Covenant Management Services, Inc
- Emergency Medicine Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- SWEDISH COVENANT MANAGEMENT SERVICES, INC
- Practice address
- 5140 N California Ave
Chicago, IL 60625-3645 - Phone
- (847) 570-2040
- NPI assigned
- Dec 3, 2019
- Organization subpart
- Yes
- Parent organization
- SWEDISH COVENANT MANAGEMENT SERVICES, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Carrie L. Bradford, MHA, RHIA, CPMSM, CP
- Title
- Avp, Physician Services and Cvo
- Phone
- (847) 570-2041
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | |||
| Emergency Medicine Physician | 207P00000X | Primary | ||
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
5140 N California Ave
Chicago, IL 60625-3645
Mailing address
2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700
Phone (847) 570-2040
Other names 1
- Swedish Emergency Medicine
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | schosp.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040123000850 | IL | Part B Supplier - Clinic/Group Practice | 4486556016 |
Receives reassigned benefits from 381 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Chicago, IL; Elmhurst, IL; Evanston, IL; Hoffman Estates, IL; Buffalo Grove, IL |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1407002108
O20040123000850
-
- Anesthesiology Physician
- Chicago, IL
- NPI 1699126383
O20040123000850
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1760432348
O20040123000850
National Provider Directory
National Provider Directory- Part of
- Swedish Covenant MGMT S
Locations
5345 N Sheridan Rd
Chicago, IL 60640
Phone (773) 293-8890
3447 W Lawrence Ave
Chicago, IL 60625
Phone (773) 478-9250
5115 N Francisco Ave
Fl 1
Chicago, IL 60625
Phone (773) 271-6622
5140 N California Ave
Ste 465
Chicago, IL 60625
Phone (773) 271-4444
3122 N Ashland Ave
Chicago, IL 60657
Phone (773) 687-7000
5300 W Devon Ave
Chicago, IL 60646
Phone (312) 728-8209
2751 W Winona St
#253
Chicago, IL 60625
Phone 77387882002341
4801 W Peterson Ave
Ste 214
Chicago, IL 60646
Phone (773) 772-1285
5145 N California Ave
#105
Chicago, IL 60625
Phone (773) 989-1696
5015 N Paulina St
Ste 325
Chicago, IL 60640
Phone (773) 334-5709
2740 W Foster Ave
Ste 310
Chicago, IL 60625
5150 N Francisco Ave
Chicago, IL 60625
Phone (773) 989-5571
2739 W Foster Ave
Chicago, IL 60625
Phone (773) 989-3800
2740 W Foster Ave
Ste 412
Chicago, IL 60625
Phone (773) 293-4362
5140 N California Ave
Ste 420
Chicago, IL 60625
Phone (773) 293-8878
800 Austin St
Ste 557
Evanston, IL 60202
Phone (847) 316-4455
800 Austin St
Ste 607
Evanston, IL 60202
Phone (847) 475-6063
800 Austin St
Ste 201
Evanston, IL 60202
Phone (773) 271-0807
1 Erie Ct
Ste 7040
Oak Park, IL 60302
Phone (708) 386-8008
Practitioners 399
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1679063010
-
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
- Chicago, IL
- NPI 1063425965
-
- Physician Assistant
- Chicago, IL
- NPI 1902397078
-
- Certified Registered Nurse Anesthetist
- Chicago, IL
- NPI 1225308281
-
- Anesthesiology Physician
- Lake Forest, IL
- NPI 1598901423
-
- Obstetrics & Gynecology Physician
- Chicago, IL
- NPI 1528350865
-
- Family Medicine Physician
- Niles, IL
- NPI 1962718791
-
- Family Medicine Physician
- Chicago, IL
- NPI 1346536638
-
- Neonatal-Perinatal Medicine Physician
- Evanston, IL
- NPI 1245399898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623110400000",
"number": "1962049551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 RIDGE AVE STE 1223",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602011700",
"telephone_number": "847-570-2040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5140 N CALIFORNIA AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606253645",
"telephone_number": "847-570-2040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWEDISH COVENANT MANAGEMENT SERVICES, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SWEDISH COVENANT MANAGEMENT SERVICES, INC",
"enumeration_date": "2019-12-03",
"last_updated": "2021-06-08",
"certification_date": "2021-06-08",
"status": "A",
"authorized_official_last_name": "BRADFORD",
"authorized_official_first_name": "CARRIE",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "AVP, PHYSICIAN SERVICES AND CVO",
"authorized_official_telephone_number": "847-570-2041",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MHA, RHIA, CPMSM, CP"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse, Emergency",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "schosp.org",
"affiliation": "N",
"address_1": "5145 N California Ave",
"city": "Chicago",
"state": "IL",
"country_code": "US",
"postal_code": "606253661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Swedish Emergency Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
- Swedish Covenant Hospital
- Swedish Covenant Hospital
- Swedish Covenant Hospital
- Swedish Covenant Hospital Home Health Care
- Swedish Covenant House Calls
- Swedish Covenant Management Services, Inc.
- Swedish Covenant Management Services, Inc.
- Swedish Covenant Management Services, Inc.
- Swedish Covenant Physician Partners, LTD.
- Swedish Covenant Surgery Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.