MERCY HOSPITAL &MEDICAL CENTER (NPI# 1215914791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215914791 |
| Entity Type | Organization |
| Organization Name | MERCY HOSPITAL &MEDICAL CENTER |
| Other Organization Name | MERCY MEDICAL GROUP |
| Practice Address |
2525 S Michigan Ave Att: Physician Billing/credentialing Dept Chicago IL 60616-2315 |
| Mailing Address |
28231 Network Pl Chicago IL 60673-1282 |
| Practice Telephone | 3125677924 |
| Practice Fax Number | 3125676189 |
| Mailing Telephone | 3125672118 |
| Mailing Fax Number | 3123287701 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2019-08-02 |
| Authorized Official Name | SILIA MIGLIO (VP OF FINANCE) |
| Authorized Official Telephone | 3125672580 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | ========= | IL | Behavioral Health & Social Service Providers |
| N | 176B00000X | Midwife | ========= | IL | Other Service Providers |
| N | 207K00000X | Allergy & Immunology | ========= | IL | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | ========= | IL | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
========= | IL | Allopathic & Osteopathic Physicians |
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
========= | IL | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
========= | IL | Allopathic & Osteopathic Physicians |
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
========= | IL | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | ========= | IL | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | ========= | IL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | ========= | IL | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
========= | IL | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | ========= | IL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | ========= | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS OF IL | 01621679 | 01 |
| Other Name | Type Code |
|---|---|
| Mercy Medical Group | Doing Business As Name - Organization |
| Street Address |
2525 S MICHIGAN AVE ATT: PHYSICIAN BILLING/CREDENTIALING DEPT |
| City | CHICAGO |
| State | IL |
| Zip Code | 60616-2315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215937628 | Bassam Osman | Psychiatry & Neurology | 2525 S Michigan Ave, Chicago, IL 60616-2333 | 2005-07-28 |
| 1821699794 | Gabrielle Klugman | Speech-Language Pathologist | 2525 S Michigan Ave, Chicago, IL 60616-2332 | 2020-11-05 |
| 1588278766 | Omar Hegazy | Internal Medicine | 2525 S Michigan Ave, Chicago, IL 60616-2315 | 2020-09-03 |
| 1326657651 | Stevan Oluic | Internal Medicine | 2525 S Michigan Ave, Chicago, IL 60616-2315 | 2020-07-22 |
| 1821616947 | Peter Pyagay | Internal Medicine | 2525 S Michigan Ave, Chicago, IL 60616-2332 | 2020-07-07 |
| 1225655665 | Elliot A Petropoulos | Internal Medicine | 2525 S Michigan Ave, Chicago, IL 60616-2315 | 2020-07-01 |
| 1053931758 | Kristiina Carol Miller | Student in an Organized Health Care Education/Training Program | 2525 S Michigan Ave, Chicago, IL 60616 | 2020-04-22 |
| 1316567365 | Nikita Grama | Podiatrist | 2525 S Michigan Ave, Chicago, IL 60616-2315 | 2020-04-20 |
| 1073132031 | David Fares Nassif Hana | Internal Medicine | 2525 S Michigan Ave, Chicago, IL 60616-2332 | 2020-04-10 |
| 1932728961 | Maria Geraldinesneha Devanesan | Internal Medicine | 2525 S Michigan Ave, Chicago, IL 60616-2332 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558993758 | King Dental, PC | Clinic/Center | 3425 S King Dr, Chicago, IL 60616 | 2020-02-06 |
| 1386286144 | Anais Karel Jackson-gonzalez | Acupuncturist | 2018 S. Michigan Ave., Chicago, IL 60616 | 2019-10-14 |
| 1215499777 | Mashaal F Ikram | Student in an Organized Health Care Education/Training Program | Mercy Hospital and Medical Center, 2525 South Michigan Avenue, Chicago, IL 60616 | 2019-04-03 |
| 1891254223 | Towayn Heaven | Acupuncturist | 2018 S Michigan Ave, Chicago, IL 60616 | 2019-03-15 |
| 1689131518 | Abhishek Santos Pandya | Internal Medicine | 2525 S Michigan Ave., Mercy Hospital and Medical Center, Chicago, IL 60616 | 2019-02-27 |
| 1144703992 | Katelyn Michelle St Martin | Physician Assistant | 2850 S Michigan Ave Ste 100, Chicago, IL 60616 | 2018-09-07 |
| 1902383953 | Healing Empowering & Learning Professionals LLC | Clinic/Center | 2930 S Michigan Ave Ste 100, Chicago, IL 60616 | 2018-07-23 |
| 1437644812 | Puja Bhagwakar | Dentist | 1620 S Michigan Ave Unit 704, Chicago, IL 60616 | 2018-06-27 |
| 1821589110 | David Alexander Sousa Frias | Internal Medicine | 2525 Michigan Ave, Mercy Hospital At Medical Center, Chicago, IL 60616 | 2018-05-23 |
| 1508394933 | Awad Eyecare Sc | Optometrist | 1845 S Michigan Ave Unit 1803, Chicago, IL 60616 | 2017-05-30 |
| Find all providers in zip 60616 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606193 | Thatiana Carolina Schulze Goni | Internal Medicine | 5924 N Lincoln Ave Apt 205, Chicago, IL 60659-3736 | 2020-10-11 |
| 1750995742 | Eva Bartaula | Internal Medicine | 1500 S Fairfield Ave # 3, Chicago, IL 60608-1782 | 2020-09-07 |
| 1750994513 | Ranjit Babu Jasaraj | Internal Medicine | 1500 S Fairfield Ave # F-914, Chicago, IL 60608-1782 | 2020-08-30 |
| 1871106005 | Vijay Ketan Reddy | Internal Medicine | 1500 S Fairfield Ave Dept Roomf914, Chicago, IL 60608-1782 | 2020-08-27 |
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1871119172 | Irina Komissarova | Internal Medicine | 916 S Oakley Blvd, Chicago, IL 60612-4230 | 2020-06-22 |
| 1336760719 | Arslan Zahid | Internal Medicine | 5847 S Maryland Ave, Chicago, IL 60637-1463 | 2020-04-27 |
| 1104447572 | Nirmal Desai | Internal Medicine | 5841 S Maryland Ave., M/c 7082, Chicago, IL 60637-1443 | 2020-04-27 |
| 1467072447 | Justin Edmond Sipiora | Internal Medicine | 5841 S. Maryland Ave Mc 7082, Chicago, IL 60637-1443 | 2020-04-20 |
| 1003449612 | Eoht LLC | Internal Medicine | 1718 W North Shore Ave Apt 11, Chicago, IL 60626-4030 | 2020-02-21 |
| Find all providers in CHICAGO | ||||
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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.