Organization Active NPI

Mercy Hospital and Medical Center

  • General Acute Care Hospital
  • Chicago, IL
National Provider Identifier
1982908455
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
125057355 Issued in IL
Legal business name
MERCY HOSPITAL AND MEDICAL CENTER
Practice address
2525 S Michigan Ave
2-463
Chicago, IL 60616-2333
Phone
(312) 567-2000
NPI assigned
Dec 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Authorized official

Name
Dr. Steven Potts, D.O
Title
Program Director
Phone
(312) 567-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 125057355 IL Primary

Addresses

Primary practice location

2525 S Michigan Ave
2-463
Chicago, IL 60616-2333

Mailing address

3445 S Rhodes Ave
Apt 204
Chicago, IL 60616-4141
Phone (646) 318-8330

Other identifiers 1

IdentifierTypeStateIssuer
125057355OtherILILLINOIS STATE LICENSURE

National Provider Directory

National Provider Directory
Tax ID family
Mercy Hospital and Medical Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2525 S Michigan Ave
#2463
Chicago, IL 60616

NPI Registry JSON

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

{
    "created_epoch": "1293408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1982908455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 S RHODES AVE",
            "address_2": "APT 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606164141",
            "telephone_number": "646-318-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S MICHIGAN AVE",
            "address_2": "2-463",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162333",
            "telephone_number": "312-567-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HOSPITAL AND MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-27",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "POTTS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "312-567-2000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IL",
            "license": "125057355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS STATE LICENSURE",
            "identifier": "125057355",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 27, 2010; 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.