THOREK MEMORIAL HOSPITAL (NPI# 1396350955) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396350955 |
| Entity Type | Organization |
| Organization Name | THOREK MEMORIAL HOSPITAL |
| Practice Address |
850 W Irving Park Rd Chicago IL 60613-3077 |
| Practice Telephone | 7739756705 |
| Mailing Telephone | 7739756705 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Authorized Official Name | EDWARD BUDD (CEO) |
| Authorized Official Telephone | 7739756705 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Thorek Memorial Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245441815 | Thorek Memorial Hospital | Pharmacy | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2007-05-25 |
| 1982643961 | Thorek Memorial Hospital | General Acute Care Hospital | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2006-06-05 |
| 1891755351 | Thorek Memorial Hospital | Psychiatric Unit | 5025 N Paulina St, Chicago, IL 60640-2772 | 2006-03-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | THOREK MEMORIAL HOSPITAL | 850 W Irving Park Rd Ste 306, Chicago, IL 60613-3077 |
| Street Address |
850 W IRVING PARK RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60613-3077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700879434 | Ricardo Machado | Internal Medicine | 850 W Irving Park Rd, Suite 102, Chicago, IL 60613-3077 | 2005-08-29 |
| 1790385987 | Adebowale Oyebamiji | Nurse Practitioner | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2020-10-28 |
| 1003435868 | Jun Phan | Dietitian, Registered | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2020-04-13 |
| 1124670948 | Bukola Eunice Odusote | Nurse Practitioner | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2019-07-11 |
| 1508332552 | Virgilio A Caramay | Nurse Practitioner | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2018-10-17 |
| 1457845505 | Alison Casie Chruscinski | Social Worker | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2018-06-20 |
| 1821591058 | Sarah Grace Perkins | Dietitian, Registered | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2018-03-14 |
| 1790288868 | Lakeview Health Network LLC | Health Maintenance Organization | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2018-03-14 |
| 1073020756 | Nanda Kishore Maddineni | Specialist/Technologist, Other | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2018-01-04 |
| 1609395383 | Ekalak Yodchai | Nurse Practitioner | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2017-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261978 | Thorek Radiology Group Nfp | Radiology | 850 West Irving Park Road, Chicago, IL 60613 | 2020-10-08 |
| 1760034128 | Maryellen Karas Lajeunesse | Social Worker | 3930 N. Pine Grove Ave, #2403, Chicago, IL 60613 | 2019-07-15 |
| 1801366430 | Stephanie A Dykema | Psychologist | 4043 N Ravenswood Ave Suite 302, Chicago, IL 60613 | 2018-11-27 |
| 1487154191 | Alan Tsang | Counselor | 655 W Irving Park Rd Ste 203, Chicago, IL 60613 | 2018-02-19 |
| 1972015782 | Integrated Ortho, LLC. | Durable Medical Equipment & Medical Supplies | 3717 N. Ravenswood Ave, Suite 219w, Chicago, IL 60613 | 2017-11-02 |
| 1073048005 | Claire Jolly | Social Worker | 3701 N Ravenswood Ave Ste 301, Chicago, IL 60613 | 2017-04-27 |
| 1730626011 | Marc Fagan | Psychologist | 4101 N Ravenswood Ave., Chicago, IL 60613 | 2017-01-25 |
| 1205385671 | Sara Turner | Psychologist | 3855 N Greenview Ave # 2a, Chicago, IL 60613 | 2016-09-27 |
| 1962955997 | Michelle Montero | Psychologist | 925 W Dakin St Apt 405, Chicago, IL 60613 | 2016-07-26 |
| 1063883494 | Athletico, Ltd | Physical Therapist | 3922 North Sheridan Rd, Chicago, IL 60613 | 2015-10-12 |
| Find all providers in zip 60613 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1790391373 | Luminary Solutions, LLC | Clinic/Center | 3166 N Lincoln Ave Ste 305, Chicago, IL 60657-3119 | 2020-09-19 |
| 1114533924 | A Safe Haven, L.L.C. | Clinic/Center | 600 S Wabash Ave, Chicago, IL 60605-1808 | 2020-09-17 |
| 1235745142 | A Safe Haven, L.L.C. | Clinic/Center | 7355 N Damen Ave, Chicago, IL 60645-2311 | 2020-09-17 |
| 1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
| 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.