KINDRED THC CHICAGO, LLC (NPI# 1578648028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578648028 |
| Entity Type | Organization |
| Organization Name | KINDRED THC CHICAGO, LLC |
| Other Organization Name | KINDRED - CHICAGO - CENTRAL HOSPITAL |
| Practice Address |
4058 W Melrose St Chicago IL 60641 |
| Mailing Address |
4058 W Melrose St Chicago IL 60641-4799 |
| Practice Telephone | 7737367000 |
| Practice Fax Number | 7732024355 |
| Mailing Telephone | 7737367000 |
| Mailing Fax Number | 7732024355 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2019-05-06 |
| Authorized Official Name | MR. TERRANCE K. DILLON (ASSISTANT SECRETARY) |
| Authorized Official Telephone | 5025967220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | 0004564 | IL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS | 195 | 01 |
| Other Name | Type Code |
|---|---|
| Kindred - Chicago - Central Hospital | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780769257 | Kindred Thc Chicago, LLC | Long Term Care Hospital | 225 Edward St, Sycamore, IL 60178 | 2006-10-25 |
| 1871678334 | Kindred Thc Chicago, LLC | Psychiatric Unit | 2544 W Montrose Ave, Chicago, IL 60618 | 2006-10-25 |
| 1083862452 | Kindred Thc Chicago, LLC | Specialist | 225 Edward St, Sycamore, IL 60178 | 2008-08-28 |
| 1679658132 | Kindred Thc Chicago, LLC | Long Term Care Hospital | 365 E North Ave, Northlake, IL 60164 | 2006-10-25 |
| Street Address |
4058 W MELROSE ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492014 | Kindred Thc North Shore, LLC | Long Term Care Hospital | 4058 W Melrose St, Chicago, IL 60641-4799 | 2020-09-22 |
| 1841670312 | Yvonne M Cikanek | Occupational Therapist | 4058 W Melrose St, Chicago, IL 60641-4799 | 2015-05-31 |
| 1043502370 | Kindred Healthcare Operating, Inc | Hospitalist | 4058 W Melrose St, Chicago, IL 60641-4799 | 2011-05-04 |
| 1073834958 | Pf Development 6 LLC | Clinic/Center | 4058 W Melrose St, Chicago, IL 60641-4799 | 2010-06-15 |
| 1447589981 | Knd Development 59 LLC | Hospitalist | 4058 W Melrose St, Chicago, IL 60641-4799 | 2009-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063038131 | Victoria Carmen Grau Kazmierzcak | Student in an Organized Health Care Education/Training Program | 5458 W Grace St, Unit 2, Chicago, IL 60641 | 2020-06-24 |
| 1659926921 | Farah Alhaidar | Counselor | 4028 W Irving Park Rd Loft B, Chicago, IL 60641 | 2019-08-05 |
| 1255898482 | Bernadeta Agnieszka Kapustka | Nurse Practitioner | 5425 W Addison, Chicago, IL 60641 | 2019-02-24 |
| 1295200921 | The Dental Masters of Belmont, LLC | Dentist | 5236 W. Belmont Ave., Chicago, IL 60641 | 2018-10-09 |
| 1700364171 | National Vision Inc | Technician/Technologist | 4068 North Milwaukee Avenue, Chicago, IL 60641 | 2018-07-30 |
| 1477055168 | Elaine Vozar Acupuncturist Ltd | Acupuncturist | 3817 N. Pulaski, Chicago, IL 60641 | 2018-03-08 |
| 1174906853 | Heather Rocco | Hearing Instrument Specialist | 4122 N Millwaukee Ave, Chicago, IL 60641 | 2015-06-30 |
| 1770910184 | Kendra Manning | Physician Assistant | 4959 W. Belmont Ave, Chicago, IL 60641 | 2013-09-30 |
| 1679916274 | Don E Mccree | Technician, Cardiology | 2936 N. Kolmar, 3c, Chicago, IL 60641 | 2013-04-12 |
| 1053664888 | Scott P Dusenbery | Occupational Therapist | 3235 N Lockwood Apt 3, Chicago, IL 60641 | 2012-10-17 |
| Find all providers in zip 60641 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578720041 | Maryville Academy | Long Term Care Hospital | 4015 N Oak Park Ave Bldg B, Chicago, IL 60634-7197 | 2008-05-21 |
| 1861664013 | Pioneer Gardens Senior Housing Lp | Long Term Care Hospital | 3800 S King Dr, Chicago, IL 60653-1785 | 2008-03-27 |
| 1821604125 | Kindred Chicago Northlake, LLC | Long Term Care Hospital | 2544 W Montrose Ave, Chicago, IL 60618-1537 | 2020-09-22 |
| 1700492014 | Kindred Thc North Shore, LLC | Long Term Care Hospital | 4058 W Melrose St, Chicago, IL 60641-4799 | 2020-09-22 |
| 1144777285 | Rush University Medical Centre | Long Term Care Hospital | 1653 W Congress Parkway, Jelke Buidling Suite 181, Chicago, IL 60612-3833 | 2016-09-07 |
| 1730589946 | Presence St Joseph Hospital | Long Term Care Hospital | 2900 N Lake Shore Dr, Suite 203, Medical Education Building, Chicago, IL 60657-5640 | 2014-08-26 |
| 1548609514 | We | Long Term Care Hospital | 4646 N Marine Dr, Chicago, IL 60640-5759 | 2013-06-22 |
| 1467618660 | Rush University | Long Term Care Hospital | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2008-08-06 |
| 1275704124 | Mcgaw Medical Center | Long Term Care Hospital | 675 N Saint Clair St, Suite 18-200, Chicago, IL 60611-5975 | 2008-03-19 |
| 1528143088 | Kindred Thc North Shore, LLC | Long Term Care Hospital | 6130 N Sheridan Rd, Chicago, IL 60660 | 2006-10-25 |
| 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.