Organization Active NPI

Swedish Covenant Management Services, Inc

  • Emergency Medicine Physician
  • Chicago, IL
National Provider Identifier
1962049551
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
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, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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)CodeLicenseStatePrimary
Emergency Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WE0003X
Emergency Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207P00000X Primary
Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL schosp.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

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.

View all 399

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

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.

Verify at the official NPI Registry.