ELMHURST MEMORIAL HOSPITAL (NPI# 1689781080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1689781080 |
Entity Type | Organization |
Organization Name | ELMHURST MEMORIAL HOSPITAL |
Other Organization Name | ELMHURST MEMORIAL HOSPITAL HOME INFUSION SERVICES |
Practice Address |
155 E Brush Hill Road Elmhurst IL 60126 |
Practice Telephone | 3312210171 |
Practice Fax Number | 3312213704 |
Mailing Telephone | 3312210171 |
Mailing Fax Number | 3312213704 |
Enumeration Date | 2006-08-23 |
Last Update Date | 2011-08-12 |
Authorized Official Name | MR. JAMES F. DOYLE (CFO) |
Authorized Official Telephone | 3312210171 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
054017217 | IL | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BC/BS | 2221411 | 01 | |
NCPDP | 1471870 | 01 |
Other Name | Type Code |
---|---|
Elmhurst Memorial Hospital Home Infusion Services | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548402290 | Elmhurst Memorial Hospital | General Acute Care Hospital | 183 N York Rd, Elmhurst, IL 60126-2717 | 2009-03-26 |
1699811422 | Elmhurst Memorial Hospital | Psychiatric Unit | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2007-01-29 |
1215073036 | Elmhurst Memorial Hospital | Skilled Nursing Facility | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2007-01-29 |
1548306343 | Elmhurst Memorial Hospital | General Acute Care Hospital | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2007-01-29 |
1184731481 | Elmhurst Memorial Hospital | Pharmacy | 200 N Berteau Ave, Elmhurst, IL 60126-2966 | 2006-08-23 |
1932214749 | Elmhurst Memorial Hospital | Pharmacy | 1200 S York Rd, Elmhurst, IL 60126-5626 | 2006-08-20 |
1932141645 | Elmhurst Memorial Hospital | Pharmacy | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 | 2006-06-10 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | ELMHURST MEMORIAL HOSPITAL | 155 E Brush Hill Rd, Elmhurst, IL 60126-5658 |
Street Address |
155 E BRUSH HILL ROAD |
City | ELMHURST |
State | IL |
Zip Code | 60126 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
Find all providers in zip 60126 |
Taxonomy Code | 3336H0001X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Home Infusion Therapy Pharmacy |
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
Notes: Source: National Home Infusion Association [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396814927 | Infuscience, Inc. | Pharmacy | 1225 Tri State Pkwy, Suite 510, Gurnee, IL 60031-9163 | 2006-11-07 |
1629151824 | Rx Solutions Inc | Pharmacy | 441 Eisenhower Lane South, Lombard, IL 60148 | 2006-10-23 |
1841381738 | Presence Healthcare Services | Pharmacy | 100 N. River Road, Suite 122s, Des Plaines, IL 60016-1209 | 2006-09-27 |
1942313143 | Infusion Therapy Acquisition Corp | Pharmacy | 1225 Tri-state Parkway, Suite 510, Gurnee, IL 60031 | 2006-08-15 |
1831104546 | Pointcore, Inc. | Pharmacy | 9951 Rock Cut Crossing, Loves Park, IL 61111 | 2006-07-30 |
1952322901 | Heartland Infustion Therapy | Pharmacy | 415 Ne Saint Mark Ct, Peoria, IL 61603-3716 | 2006-07-22 |
1235174954 | Infusion Plus Inc. | Pharmacy | 545 W Taft Dr, South Holland, IL 60473-2030 | 2006-06-17 |
1063465185 | In Touch Medical Mgmt Inc | Pharmacy | 554 W Taft Dr, South Holland, IL 60473-2029 | 2006-05-18 |
1396703088 | Central Dupage Special Health Association | Pharmacy | 26w171 Roosevelt Rd Rm G021, Wheaton, IL 60187-6002 | 2006-05-02 |
1750345070 | I V Solutions LLC | Pharmacy | 161 Hansen Ct, Ste 106, Wood Dale, IL 60191-1110 | 2006-04-13 |
Find all providers with the same taxonomy |
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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.