ST JAMES HOSPITAL UNITED STATES CATHOLIC CONFERENCE


Address: 30 E 15th St, Suite # 308, Chicago Heights, IL 60411-3459
Phone: 7087559355

ST JAMES HOSPITAL UNITED STATES CATHOLIC CONFERENCE (NPI# 1457629966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457629966
Entity Type Organization
Organization Name ST JAMES HOSPITAL UNITED STATES CATHOLIC CONFERENCE
Other Organization Name FRANCISCAN ST JAMES FAMILY HEALTH CENTER OF CHICAGO HEIGHTS
Practice Address 30 E 15th St
Suite # 308
Chicago Heights
IL 60411-3459
Mailing Address 1040 Sierra Dr
Suite 400
Greenwood
IN 46143-7240
Practice Telephone 7087559355
Practice Fax Number 7087557851
Mailing Telephone 3175284250
Mailing Fax Number 3178658316
Enumeration Date 2011-12-12
Last Update Date 2011-12-12
Authorized Official Name MR. THOMAS SENESAC (TREASURER)
Authorized Official Telephone 7087561000
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 036127750 IL Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
FRANCISCAN ST JAMES FAMILY HEALTH CENTER OF CHICAGO HEIGHTS Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1750667754 St James Hospital United States Catholic Conference Family Medicine 18030 Wolf Rd, Orland Park, IL 60467-5407 2011-10-24
1518266345 St James Hospital United States Catholic Conference Family Medicine 19807 La Grange Rd, Mokena, IL 60448-8348 2011-03-18
1366716185 St James Hospital United States Catholic Conference Internal Medicine 3800 W 203rd St, Suite 202, Olympia Fields, IL 60461-1184 2012-02-24
1124322680 St James Hospital United States Catholic Conference Family Medicine 3700 W 203rd St, Olympia Fields, IL 60461-1180 2010-12-27
1144523994 St James Hospital United States Catholic Conference Family Medicine 3900 W 203rd St, Olympia Fields, IL 60461-1183 2010-12-17
1619280203 St James Hospital United States Catholic Conference Family Medicine 18636 Dixie Hwy, Homewood, IL 60430-3741 2010-07-23
1093028680 St James Hospital United States Catholic Conference Family Medicine 17859 80th Ave, Tinley Park, IL 60477-5023 2010-07-23
1073794517 St James Hospital United States Catholic Conference Clinic/Center 30 E 15th St, Suite 314, Chicago Heights, IL 60411-3459 2007-11-26

Office Location

Street Address 30 E 15TH ST
SUITE # 308
City CHICAGO HEIGHTS
State IL
Zip Code 60411-3459

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376523647 Ramesh Soundararajan Internal Medicine 30 E 15th St, Suite 201, Chicago Heights, IL 60411-3459 2006-01-20
1780167841 Emerge Medstaffing LLC Emergency Medicine 30 E 15th St, Chicago Heights, IL 60411-3459 2018-09-13
1548638299 Pushpa Soundararajan Dietitian, Registered 30 E 15th St, Suite 201, Chicago Heights, IL 60411-3459 2015-09-11
1629331087 Richard Michael Louissaint Emergency Medicine 30 E 15th St, Chicago Heights, IL 60411-3459 2012-06-20
1871885731 Amit Dhingra Pharmacist 30 E 15th St, Suite 204, Chicago Heights, IL 60411-3459 2011-05-11
1295055291 Tilemahos D Spyratos Internal Medicine 30 E 15th St, Ste 207, Chicago Heights, IL 60411-3459 2010-06-02
1700013166 Raghuvansh Kumar M.d;s.c Physical Medicine & Rehabilitation 30 E 15th St, Suite 312, Chicago Heights, IL 60411-3459 2009-06-12
1831324789 Heather Ines Dieperink Emergency Medicine 30 E 15th St, Chicago Heights, IL 60411-3459 2009-05-21
1821237199 Mdrx Medical,p.c. Family Medicine 30 E 15th St, Suite 308, Chicago Heights, IL 60411-3459 2009-02-11
1750532065 Briana N Decuir Emergency Medicine 30 E 15th St, Chicago Heights, IL 60411-3459 2008-10-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164044236 Bryant Healthy Living, LLC Nurse Practitioner 19404 N. Creek Drive, Lynwood, IL 60411 2020-05-12
1235657263 Natisha Olaseni Case Manager/Care Coordinator 641 W. 63rd Street, Chicago, IL 60411 2017-08-30
1033644497 Fresenius Medical Care Chicagoland, LLC Clinic/Center 15 E. Independence Drive, Chicago Heights, IL 60411 2017-04-24
1992251771 Latonya West Counselor 1640 215th Pl, Sauk Village, IL 60411 2016-08-31
1063868586 Oho and Associates Non-emergency Medical Transport (VAN) 1010 S. Dixie Hwy, Chicago Heights, IL 60411 2016-05-13
1578945309 Albert Ellis Jr. Counselor 395 West Lincoln Highway, Chicago Heights, IL 60411 2015-06-29
1407238181 Stephanie Touney Behavioral Analyst 450 West 14th Street, Chicago Heights, IL 60411 2015-06-18
1851788582 Dlw Transporation Corp Non-emergency Medical Transport (VAN) 603 Andover, Chicago H.t.s., IL 60411 2015-04-21
1215338983 Stephanie Anderson-bell Occupational Therapist 630 Ranger Dr., Chicago Heights, IL 60411 2014-09-11
1255778221 Aunt Martha's Youth Service Center, Inc Clinic/Center 500 Dixie Highway, Chicago Heights, IL 60411 2013-05-30
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124575725 Rex Medical Services LLC Internal Medicine 17 Olympic Vlg, # 3b, Chicago Heights, IL 60411-8101 2016-09-01
1033409297 Ashley Noriea Internal Medicine 1401 Western Ave, Chicago Heights, IL 60411-3147 2011-04-08
1952455362 Rakesh K Chugh Internal Medicine 30 E 15th St Ste 308, Chicago Heights, IL 60411-3459 2007-01-22
1033505045 Amanda E Wright Internal Medicine 1401 Western Ave, Chicago Heights, IL 60411-3147 2015-04-07
1871797258 Clifton Joseph Ward Jr. Internal Medicine 30 E 15th Street, Suite 100, Chicago Heights, IL 60411-3459 2007-06-12
1376757609 Shariq Sattar Internal Medicine 1423 Chicago Rd, Chicago Heights, IL 60411-3400 2007-05-09
1164548848 Fatma Elzhra Hossini Ramadan Internal Medicine 333 Dixie Hwy, Chicago Heights, IL 60411-1748 2007-03-22
1518071877 Veterans Administration Internal Medicine 30 E 15th St, Chicago Heights, IL 60411-3459 2006-08-17
1154347045 Subhash M Waikar Internal Medicine 333 Dixie Hwy, Chicago Heights, IL 60411-1748 2006-07-14
1114988425 Isaac J Kirstein Internal Medicine 333 Dixie Hwy, Chicago Heights, IL 60411-1790 2006-03-29
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Competitor

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City CHICAGO HEIGHTS
Zip Code 60411

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Dataset Information

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.

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