SAINT ANTHONY HEALTH AFFILIATES (NPI# 1295010056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295010056 |
| Entity Type | Organization |
| Organization Name | SAINT ANTHONY HEALTH AFFILIATES |
| Other Organization Name | THE PHYSICIAN CENTER |
| Practice Address |
2875 West 19th Street Chicago IL 60623-3501 |
| Mailing Address |
Po Box 83 Crown Point IN 46308-0083 |
| Practice Telephone | 7734844425 |
| Practice Fax Number | 7735210223 |
| Mailing Telephone | 7734844783 |
| Enumeration Date | 2011-10-12 |
| Last Update Date | 2020-04-19 |
| Authorized Official Name | GUY MEDAGLIA (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 7734844783 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 282N00000X | General Acute Care Hospital | Hospitals | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| The Physician Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295757771 | Saint Anthony Health Affiliates | Social Worker | 4177 South Archer Avenue, Chicago, IL 60632-1849 | 2006-07-24 |
| 1922025709 | Saint Anthony Health Affiliates | Clinic/Center | 2645 W 51st St, Chicago, IL 60632-1559 | 2006-07-16 |
| 1659985661 | Saint Anthony Health Affiliates | Clinic/Center | 30 N Michigan Ave, Chicago, IL 60602-3402 | 2020-09-08 |
| 1538655949 | Saint Anthony Health Affiliates | Clinic/Center | 1600 W 13th St, Chicago, IL 60608-1304 | 2018-07-09 |
| 1376079517 | Saint Anthony Health Affiliates | Clinic/Center | 4455 S Kedzie Ave, Chicago, IL 60632-2814 | 2017-05-09 |
| 1154713980 | Saint Anthony Health Affiliates | Clinic/Center | 3059 W 26th St, Chicago, IL 60623-4131 | 2015-03-03 |
| 1881086064 | Saint Anthony Health Affiliates | Clinic/Center | 2001 S California Ave, Chicago, IL 60608-2486 | 2015-02-25 |
| 1912397480 | Saint Anthony Health Affiliates | Clinic/Center | 4455 S Kedzie Ave, Chicago, IL 60632-2814 | 2015-02-04 |
| 1023453750 | Saint Anthony Health Affiliates | Anesthesiology | 2875 W 19th St, Chicago, IL 60623-3501 | 2013-05-08 |
| 1902825292 | Saint Anthony Health Affiliates | Clinic/Center | 6545 Cermak Rd, Berwyn, IL 60402-2313 | 2006-07-18 |
| Street Address |
2875 WEST 19TH STREET |
| City | CHICAGO |
| State | IL |
| Zip Code | 60623-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629697917 | East Oaks Dialysis LLC | Clinic/Center | 2950 W 26th St, Chicago, IL 60623 | 2020-04-16 |
| 1922543917 | Montclare Senior Residences Slf of Lawndale LLC | Assisted Living Facility | 4339 West 18th Place, Chicago, IL 60623 | 2016-12-29 |
| 1679024376 | Athletico Ltd. | Physical Therapist | 2632 W. Pershing Rd., Chicago, IL 60623 | 2016-10-18 |
| 1245691211 | L A Jones Hair Restoration Center | Prosthetic/Orthotic Supplier | 1657 S. Troy, Chicago, IL 60623 | 2016-03-17 |
| 1982019204 | Sonrisa Dental Little Village 26th | Clinic/Center | 3059 S 26th St, Chicago, IL 60623 | 2014-06-25 |
| 1992055487 | Margaret C Johnson | Nurse Practitioner | 3860 W. Ogden Ave, Chicago, IL 60623 | 2012-09-12 |
| 1477851319 | Elizabeth Bauer | Physician Assistant | 3256 W 24th St, Chicago, IL 60623 | 2011-03-01 |
| 1023328390 | Rebecca Franco | Advanced Practice Midwife | 2875 W. 19th St, Chicago, IL 60623 | 2010-10-20 |
| 1447580899 | Candace Nicole Hutchen | Pharmacist | 3434 West 13th Place, Chicago, IL 60623 | 2010-01-07 |
| 1689801680 | Braceman P&o Inc. | Prosthetic/Orthotic Supplier | 2830 W. Cermak Rd., Chicago, IL 60623 | 2009-06-17 |
| Find all providers in zip 60623 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
| 1104460922 | Infinite Care Home Physicians LLC | Clinic/Center | 6044 N Nassau Ave, Chicago, IL 60631-2649 | 2019-11-05 |
| 1962051607 | Wilkes Post Acute Care Inc | Clinic/Center | 400 W 76th St Ste 303, Chicago, IL 60620-1640 | 2019-09-05 |
| 1861964959 | Midway Medical | Clinic/Center | 2 W 103rd St, Chicago, IL 60628-2619 | 2018-12-30 |
| 1043727571 | The Board of Trustees of The University of Illinois | Clinic/Center | 835 S. Wolcott, Suite E-144; Mc 684, Chicago, IL 60612 | 2018-01-05 |
| 1386099562 | Healthworks Medical Group of Illinois S C | Clinic/Center | Gem Building 723, 1st Floor, Touhy & Mt Prospect Rd, Chicago, IL 60666 | 2016-04-26 |
| 1235584475 | Healthworks Medical Group of Illinois S C | Clinic/Center | Terminal 3, K19 Concourse, Ramp Level Rm 100, Touhy & Mt Prospect Rd, Chicago, IL 60666 | 2016-04-25 |
| 1689904039 | Prime Care Medical and Physical Therapy Centers, S.c. | Clinic/Center | 1719 W 18th St, Chicago, IL 60608-1913 | 2010-01-07 |
| 1790938249 | Healing Hands Resource Center | Clinic/Center | 3143 W Douglas Blvd, Chicago, IL 60623-1816 | 2008-10-28 |
| 1770739591 | Alivio Medical Center Inc | Clinic/Center | 3120 S Kostner Ave, Chicago, IL 60623-4842 | 2008-08-12 |
| 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.