HOLY CROSS HOSPITAL (NPI# 1629472451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629472451 |
| Entity Type | Organization |
| Organization Name | HOLY CROSS HOSPITAL |
| Practice Address |
2701 W 68th St Chicago IL 60629-1813 |
| Practice Telephone | 7732576672 |
| Practice Fax Number | 7732575330 |
| Mailing Telephone | 7738841604 |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |
| Authorized Official Name | KAREN C TEITELBAUM (EXECUTIVE VICE PRESIDENT/COO) |
| Authorized Official Telephone | 7732575332 |
| 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) |
0001644 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 1932496114 | 05 | |
| IL | 1639470867 | 05 | |
| IL | 1871581314 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427547538 | Holy Cross Hospital | Psychiatric Unit | 2701 West 68th Street, Chicago, IL 60629 | 2018-05-03 |
| 1124564935 | Holy Cross Hospital | Clinic/Center | 10098 Stonehenge Cir Apt 403, Boynton Beach, FL 33437-3542 | 2017-01-18 |
| 1982089496 | Holy Cross Hospital | General Acute Care Hospital | 77 Landau St, Boynton Beach, FL 33426-8434 | 2015-07-26 |
| 1932584802 | Holy Cross Hospital | Rehabilitation Hospital | 4725 N Federal Hwy, Fort Lauderdale, FL 33308-4603 | 2015-07-21 |
| 1568874519 | Holy Cross Hospital | General Acute Care Hospital | 1500 Forest Glen Rd, Silver Spring, MD 20910-1460 | 2014-05-27 |
| 1043479918 | Holy Cross Hospital | General Acute Care Hospital | 1500 Forest Glen Rd, Silver Spring, MD 20910-1483 | 2008-06-05 |
| 1780859793 | Holy Cross Hospital | Anesthesiology | 2701 W 68th St, Chicago, IL 60629-1813 | 2008-04-30 |
| 1912072430 | Holy Cross Hospital | Pharmacy | 1500 Forest Glen Rd, Silver Spring, MD 20910-1483 | 2006-11-21 |
| 1629140934 | Holy Cross Hospital | Rehabilitation Unit | 2701 W 68th St, Chicago, IL 60629-1813 | 2006-11-14 |
| 1962425611 | Holy Cross Hospital | General Acute Care Hospital | 2701 W 68th St, Chicago, IL 60629-1813 | 2006-07-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HOLY CROSS HOSPITAL | 1397 Weimer Rd, Taos, NM 87571-6284 |
| System for Award Management (SAM) Entities | HOLY CROSS HOSPITAL, INC. | 4725 North Federal Hwy, Fort Lauderdale, FL 33308-4603 |
| Street Address |
2701 W 68TH ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60629-1813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427053552 | Marquette Radiology Associates LLC | Radiology | 2701 W 68th St, Chicago, IL 60629-1813 | 2005-06-16 |
| 1235771684 | Maria Pekic | Nurse Practitioner | 2701 W 68th St, Chicago, IL 60629-1813 | 2019-10-16 |
| 1366084386 | Hannah Cutts | Midwife | 2701 W 68th St, Chicago, IL 60629-1813 | 2019-10-10 |
| 1851941504 | Ruanda Mejia | Nurse Practitioner | 2701 W 68th St, Chicago, IL 60629-1813 | 2019-09-15 |
| 1184197410 | Mustapha O Olugbile | Nurse Practitioner | 2701 W 68th St, Chicago, IL 60629-1813 | 2019-01-09 |
| 1972080786 | Alexandra Steininger | Nurse Practitioner | 2701 W 68th St, Chicago, IL 60629-1813 | 2018-07-24 |
| 1265944961 | Alena Karpach | Nurse Practitioner | 2701 W 68th St, Chicago, IL 60629 | 2017-11-02 |
| 1245758580 | Corey Wendell Shumate | Nurse Practitioner | 2701 W 68th St, Chicago, IL 60629 | 2017-09-07 |
| 1164944369 | Cepamerica Illinois LLP | Emergency Medicine | 2701 W 68th St, Chicago, IL 60629-1813 | 2017-07-10 |
| 1558811026 | Matthew Coello | Physician Assistant | 2701 W 68th St, Chicago, IL 60629-1813 | 2016-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946392 | T & M Care LLC | In Home Supportive Care | 7230 S Talman, Apt 4, Chicago, IL 60629 | 2020-03-06 |
| 1841847811 | Jacqueline Ann Milton | Technician | 6720 South Keating, Chicago, IL 60629 | 2019-08-23 |
| 1194202085 | Andrea Mosqueda | Counselor | 4217 W 59th St, Chicago, IL 60629 | 2018-07-23 |
| 1316439235 | Saliha Awais | Dentist | 5521 S. Kedzie Ave. Suite 105, Chicago, IL 60629 | 2018-06-06 |
| 1356833255 | Irfana Ilyas | Dentist | 2403,5521 S Kedzie Ave, Suite 105, Chicago, IL 60629 | 2018-06-06 |
| 1427547538 | Holy Cross Hospital | Psychiatric Unit | 2701 West 68th Street, Chicago, IL 60629 | 2018-05-03 |
| 1871003715 | Siddhi Vinayak Dental | Clinic/Center | 5521 S Kedzie Ave, Unit 105, Chicago, IL 60629 | 2017-10-05 |
| 1477092328 | Debra Shepard | Social Worker | 2601 W. Marquette Rd., Catholic Charities, Chicago, IL 60629 | 2017-02-13 |
| 1255777108 | Jacquelyn Jones | Developmental Therapist | 3108 West Marquette Road Apartment 1-b, Chicago, IL 60629 | 2013-05-20 |
| 1124368030 | Claudia Ballesteros | Interpreter | 5631 S. Richmond, Chicago, IL 60629 | 2013-03-01 |
| Find all providers in zip 60629 | ||||
| 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 |
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| 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.