NPIMap

Organization Active NPI

Humboldt Park Health

  • General Acute Care Hospital
  • Chicago, IL
National Provider Identifier
1972594877
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
HUMBOLDT PARK HEALTH
Practice address
1044 North Francisco
Chicago, IL 60622
Phone
(773) 292-8200
Fax
(773) 278-3899
NPI assigned
Oct 31, 2005
Last updated
Feb 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Authorized official

Name
Dorothy Cheryl Erins
Title
Credentialing Specialist
Phone
(269) 244-5256

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X IL
General Acute Care Hospital 282N00000X
General Acute Care Hospital 282N00000X IL Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

1044 North Francisco
Chicago, IL 60622

Mailing address

1044 N Francisco Ave
Chicago, IL 60622-2743
Phone (773) 292-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040107000704 IL Part B Supplier - Clinic/Group Practice 8921907072 Receives reassigned benefits from 154 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chicago, IL
O20060417000521 IL Part A Provider - Hospital 8921907072 Practice locations: Chicago, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972594877. Details of each certification follow.

Hospital certification: CCN 140206

Legal name
HUMBOLDT PARK HEALTH
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 21, 2003
Beds
270
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jun 11, 1935 in IL
Enrollment address
1044 N Francisco Ave
Chicago, IL 60622-2743
Main/Primary Hospital Location
Hospital subgroups
General, Acute care, Alcohol/drug

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

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Humboldt Park HealthCCN 140206 · All quality measures
Overall star rating
1 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

1044 N Francisco Ave
#M
Chicago, IL 60622

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Adam a Boris Individual Corporate DirectorBoard Member Oct 29, 2012
Billy a Ocasio Individual Corporate OfficerVice Chair Jan 1, 2010
Oscar Bedolla Individual Corporate DirectorDirector Jun 28, 2021
James K Cmunt Individual Corporate DirectorBoard of Trustee Jan 1, 2018
Ibrahim Majzoub Individual Corporate Director Jan 1, 2024
John P Monteverde Individual Corporate OfficerSecretary Jan 1, 2011
Dan Yunker Individual Corporate OfficerTreasurer Feb 2, 2024
Michael Reed Individual Corporate Director Jan 1, 2018
Jose R Sanchez Individual Corporate OfficerPresident and Ceo Jan 1, 2018 100%
Dennis Ontaneda Individual Corporate DirectorDirector Aug 24, 2020
Richard a Blabolil Individual Corporate OfficerChair Apr 1, 2019
Dorothy Cheryl Erins Individual W-2 Managing Employee Jun 1, 2020
Arun K Verma Individual Corporate DirectorDirector Feb 2, 2020
Antonio Guillen Individual Corporate DirectorBoard Member Jan 1, 2019
Rina Chavez Individual Operational/Managerial ControlBilling Manager Dec 1, 2019

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 10

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.

Affiliated clinicians 137

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

View all 137

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1972594877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 N FRANCISCO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222743",
            "telephone_number": "773-292-8200",
            "fax_number": "773-278-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 NORTH FRANCISCO",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60622",
            "telephone_number": "773-292-8200",
            "fax_number": "773-278-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMBOLDT PARK HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "ERINS",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "CHERYL",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "269-244-5256"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.