ELMHURST MEMORIAL HOSPITAL (NPI# 1184731481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184731481 |
| Entity Type | Organization |
| Organization Name | ELMHURST MEMORIAL HOSPITAL |
| Other Organization Name | ELMHURST MEMORIAL HOSPITAL PHARMACY |
| Practice Address |
200 N Berteau Ave Elmhurst IL 60126-2966 |
| Practice Telephone | 6309414580 |
| Practice Fax Number | 6307827918 |
| Mailing Telephone | 6309414580 |
| Mailing Fax Number | 6307827918 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. LEO F. FRONZA (PRESIDENT/CEO) |
| Authorized Official Telephone | 6308331400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | NCPDP | 1429352 | 01 |
| Other Name | Type Code |
|---|---|
| Elmhurst Memorial Hospital Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689781080 | Elmhurst Memorial Hospital | Pharmacy | 155 E Brush Hill Road, Elmhurst, IL 60126 | 2006-08-23 |
| 1548402290 | Elmhurst Memorial Hospital | General Acute Care Hospital | 183 N York Rd, Elmhurst, IL 60126-2717 | 2009-03-26 |
| 1699811422 | Elmhurst Memorial Hospital | Psychiatric Unit | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2007-01-29 |
| 1215073036 | Elmhurst Memorial Hospital | Skilled Nursing Facility | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2007-01-29 |
| 1548306343 | Elmhurst Memorial Hospital | General Acute Care Hospital | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2007-01-29 |
| 1932214749 | Elmhurst Memorial Hospital | Pharmacy | 1200 S York Rd, Elmhurst, IL 60126-5626 | 2006-08-20 |
| 1932141645 | Elmhurst Memorial Hospital | Pharmacy | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2006-06-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ELMHURST MEMORIAL HOSPITAL | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 |
| Street Address |
200 N BERTEAU AVE |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-2966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366484172 | George Fikaris | Anesthesiology | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2006-06-13 |
| 1154676187 | Ronald Jay Gerstein | Counselor | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2012-07-16 |
| 1083929145 | Margaret M, Biancofiori | Nurse Anesthetist, Certified Registered | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2010-08-13 |
| 1518281716 | Kassandra Koski | Speech-Language Pathologist | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2010-03-17 |
| 1932421500 | Craig Neil Peterson | Pharmacist | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2010-02-23 |
| 1760713754 | Tara Anne Delaney | Registered Nurse | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2010-01-15 |
| 1588817167 | Edyta Leicht | Anesthesiology | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2008-10-28 |
| 1881843399 | Deanna David | Physical Therapist | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2008-09-09 |
| 1184882912 | Robert J Klatt IIi | Physical Therapy Assistant | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2008-05-29 |
| 1003074295 | Terri Ellen Calhoun | Occupational Therapist | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2008-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447783915 | Bienestar Pharmacy IIi, Inc | Pharmacy | 2359 S Western Ave, Suite 100, Chicago, IL 60608-3837 | 2017-04-11 |
| 1851639371 | Health Delivery Management, LLC | Pharmacy | 430 Warrenville Road, Lisle, IL 60532 | 2013-01-17 |
| 1821239419 | Lehan Drugs Inc | Pharmacy | 1850 Gateway Dr. Suite A, Sycamore, IL 60178 | 2009-03-12 |
| 1760656987 | Mtm Services | Pharmacy | 1524 S Sangamon St Unit 512, Chicago, IL 60608-2268 | 2008-04-18 |
| 1023137528 | John H Stroger Jr. Hospital Pharmacy of Cook County | Pharmacy | 1901 W Harrison St Rm Ll170, Chicago, IL 60612-3714 | 2007-03-28 |
| 1588781298 | Cook County | Pharmacy | 500 E 51st Street, Room 2008 and 2050, Chicago, IL 60615 | 2007-03-26 |
| 1447390125 | Board of Trustees of The University of Illinois | Pharmacy | 722 W Maxwell St, Room 205 Mc 184, Chicago, IL 60607-5002 | 2007-02-08 |
| 1982791240 | Weber Medical Clinic Ltd | Pharmacy | 1200 N East Street, Olney, IL 62450-2499 | 2006-10-06 |
| 1093818148 | Altgeld Garden Drug Co. | Pharmacy | 974 E 133rd St, Chicago, IL 60827-1428 | 2006-09-06 |
| 1649270125 | American Pharmacy Inc | Pharmacy | 2200 W Roosevelt Rd, Broadview, IL 60155-3888 | 2005-07-27 |
| Find all providers with the same taxonomy | ||||
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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.