INGALLS MEMORIAL HOSPITAL (NPI# 1023105566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023105566 |
| Entity Type | Organization |
| Organization Name | INGALLS MEMORIAL HOSPITAL |
| Other Organization Name | THE INGALLS MEMORIAL HOSPITAL |
| Practice Address |
1 Ingalls Dr Harvey IL 60426-3558 |
| Practice Telephone | 7089156107 |
| Practice Fax Number | 7089152099 |
| Mailing Telephone | 7089156107 |
| Mailing Fax Number | 7089152099 |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2018-10-12 |
| Authorized Official Name | SUSAN BJORK (DIRECTOR, IT APPLICATIONS) |
| Authorized Official Telephone | 7089156984 |
| Is Organization Subpart | Y |
| Parent Organization Name | INGALLS MEMORIAL HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273Y00000X | Rehabilitation Unit | 0001099 | IL | Hospital Units |
| Other Name | Type Code |
|---|---|
| The Ingalls Memorial Hospital | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679198014 | Ingalls Memorial Hospital | Clinic/Center | 6701 159th St Ste B105, Tinley Park, IL 60477-1758 | 2020-06-11 |
| 1245776988 | Ingalls Memorial Hospital | Clinic/Center | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2017-01-18 |
| 1801132105 | Ingalls Memorial Hospital | Home Health | 15620 Wood St, Harvey, IL 60426-4171 | 2012-12-14 |
| 1265784193 | Ingalls Memorial Hospital | General Acute Care Hospital | One Ingalls Drive, Harvey, IL 60426 | 2012-10-02 |
| 1871841841 | Ingalls Memorial Hospital | Clinic/Center | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2012-08-24 |
| 1548518509 | Ingalls Memorial Hospital | General Acute Care Hospital | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2012-08-23 |
| 1174871131 | Ingalls Memorial Hospital | General Acute Care Hospital | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2012-08-23 |
| 1720336787 | Ingalls Memorial Hospital | General Acute Care Hospital | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2012-08-23 |
| 1043307580 | Ingalls Memorial Hospital | Psychiatric Unit | One Ingalls Drive, Harvey, IL 60426-3558 | 2006-10-06 |
| 1598756686 | Ingalls Memorial Hospital | Psychiatric Unit | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2005-10-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | INGALLS MEMORIAL HOSPITAL, THE | 1 Ingalls Dr, Harvey, IL 60426-3558 |
| Street Address |
1 INGALLS DR |
| City | HARVEY |
| State | IL |
| Zip Code | 60426-3558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245239789 | Lisa M. Bibb | Pathology | 1 Ingalls Dr, Pathology Department, Harvey, IL 60426-3558 | 2005-07-18 |
| 1306453501 | Nicole Stephen | Pharmacist | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2020-09-30 |
| 1730704958 | Emily Limberg | Pharmacist | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2020-06-12 |
| 1215566781 | Willie C Harmon Sr. | Psychologist | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2020-04-06 |
| 1356988216 | La Vera Nelson | Nurse Practitioner | 1 Ingalls Dr, Harvey, IL 60426-3591 | 2019-12-10 |
| 1679037451 | Bernice Lynette Mclaurin | Pharmacist | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2019-01-26 |
| 1720579493 | Eugenia V Whalen-robinson | Social Worker | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2018-05-29 |
| 1972010718 | Lindsay Syring | Physician Assistant | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2018-01-02 |
| 1225549447 | Kimberly Wessendorf | Nurse Practitioner | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2017-10-15 |
| 1063921799 | Reda Kubilius | Nurse Practitioner | 1 Ingalls Dr, Harvey, IL 60426-3558 | 2017-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295377471 | Carol E Gillett | Technician | 14607 Jefferson St., Harvey, IL 60426 | 2019-10-09 |
| 1356866479 | Zzm Investments Inc | Non-emergency Medical Transport (VAN) | 16429 Halsted St, Harvey, IL 60426 | 2017-08-09 |
| 1639628225 | Scottlab, Ltd. | Clinical Medical Laboratory | 71 W 156th St Ste 206a, Harvey, IL 60426 | 2016-09-24 |
| 1043608631 | Yvette M. Johnson | Nurse Practitioner | 31 W. 155th Street, Harvey, IL 60426 | 2015-01-05 |
| 1558665539 | Phillip T Robinson | Contractor | 16001 Marshfield St, Harvey, IL 60426 | 2011-01-05 |
| 1669657466 | South Shore Behavioral Consultants | Counselor | 369 East 147th Street Suite E, Harvey, IL 60426 | 2007-12-31 |
| 1770784670 | County of Cook Harvey Public School District 152 | Local Education Agency (LEA) | 152nd Myrtle St, Harvey, IL 60426 | 2007-05-29 |
| 1518180678 | Associated Medical Center Sc | Family Medicine | 15900 So Carol Avenue, Harvey, IL 60426 | 2007-04-10 |
| 1336269133 | Cook County | Clinic/Center | 650 E Phoenix Center Dr, Phoenix, IL 60426 | 2007-03-29 |
| 1932243433 | Michael T Jones Dmd Ltd | Dentist | 15335 Page Ave, Harvey, IL 60426 | 2007-02-16 |
| Find all providers in zip 60426 | ||||
| Taxonomy Code | 273Y00000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation Unit |
| In general, a distinct unit of a general acute care hospital that provides care encompassing a comprehensive array of restoration services for the disabled and all support services necessary to help patients attain their maximum functional capacity. Source: AHA Annual Survey p. A10 1996 AHA Guide. For Medicare, a distinct part of a general acute care hospital providing inpatient rehabilitation services that meets the following requirements. Rehabilitation Units have in effect a preadmission screening procedure under which each prospective patient’s condition and medical history are reviewed to determine whether the patient is likely to benefit significantly from an intensive inpatient program or assessment; ensure that the patients receive close medical supervision and furnish, through the use of qualified personnel, rehabilitation nursing, physical therapy and occupational therapy, plus, as needed, speech therapy, social services or psychological services and orthotic and prosthetic services; have a plan of treatment for each inpatient that is established, reviewed, and revised as needed by a physician in consultation with other professional personnel who provide services to the patient; use a coordinated multidisciplinary team approach in the rehabilitation of each inpatient, as documented by periodic clinical entries made in the patient’s medical record to note the patient's status in relationship to goal attainment, and that team conferences are held at least every two weeks to determine the appropriateness of treatment; have a director of rehabilitation who provides services to the unit and its inpatients for at least 20 hours a week, is a doctor of medicine or osteopathy, is licensed under State law to practice medicine or surgery, and has had, after completing a one-year hospital internship at least two years of training or experience in the medical management of inpatients requiring rehabilitation services. |
| Notes: Source: Code of Federal Regulations #42, Section 412.29. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245672658 | Via Physical Therapy, P.C. | Rehabilitation Unit | 4513 Lincoln Ave Ste 212, Lisle, IL 60532-1291 | 2013-07-25 |
| 1659605814 | Elmhurst Rehabilitation Services, P.C. | Rehabilitation Unit | 360 W Butterfield Rd Ste 150, Elmhurst, IL 60126-5099 | 2009-09-21 |
| 1003933797 | Silver Cross Hospital & Medical Centers | Rehabilitation Unit | 1900 Silver Cross Blvd., New Lenox, IL 60451-9508 | 2007-03-26 |
| 1902941628 | Alexian Brothers Medical Center | Rehabilitation Unit | 935 Beisner Rd, Elk Grove Village, IL 60007-3475 | 2007-02-20 |
| 1225122047 | Southern Illinois Hospital Services | Rehabilitation Unit | 201 S. 14th, Herrin, IL 62948 | 2006-10-03 |
| 1780686758 | Merit Lincoln Park LLC | Rehabilitation Unit | 550 W Webster Ave, Chicago, IL 60614-3965 | 2005-08-10 |
| 1316413313 | Pipeline - Weiss Memorial Hospital, LLC | Rehabilitation Unit | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2018-10-17 |
| 1699241612 | Pipeline-westlake Hospital, LLC | Rehabilitation Unit | 1225 W Lake St, Melrose Park, IL 60160-4039 | 2018-10-17 |
| 1134607005 | Advocate North Side Health Network | Rehabilitation Unit | 836 W Wellington Ave, Chicago, IL 60657 | 2018-08-02 |
| 1770096521 | Osf Healthcare System | Rehabilitation Unit | 1400 W Park St, Urbana, IL 61801-2334 | 2017-11-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.