MERCY PHILLIPS HEALTH CENTER (NPI# 1730310251) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730310251 |
| Entity Type | Organization |
| Organization Name | MERCY PHILLIPS HEALTH CENTER |
| Practice Address |
244 E Pershing Rd Chicago IL 60653-2222 |
| Practice Telephone | 3125677058 |
| Practice Fax Number | 3123287982 |
| Mailing Telephone | 3125677058 |
| Mailing Fax Number | 3123287982 |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2017-07-13 |
| Authorized Official Name | MRS. PATRICE KATHLEEN GRIFFIN (DELEGATED OFFICIAL) |
| Authorized Official Telephone | 3125675593 |
| Is Organization Subpart | Y |
| Parent Organization Name | MERCY HOSPITAL & MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | 771115016 | IL | Laboratories |
| Y | 261QS1000X |
Clinic/Center Specialization: Student Health |
0001578 | IL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | CLIA | 14D1036279 | 01 |
| IL | DHS | 771115016 | 01 |
| Street Address |
244 E PERSHING RD |
| City | CHICAGO |
| State | IL |
| Zip Code | 60653-2222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255812558 | Tricia Lynn Kierny | Nurse Practitioner | 244 E Pershing Rd, Health Clinic, Chicago, IL 60653-2222 | 2018-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215804 | Pamela Ann Brazelton-sykes | Counselor | Pioneer Gardens Supportive Living, 3800 S King Dr, Chicago, IL 60653 | 2020-04-30 |
| 1962915439 | Pickup Transport Lllp | Non-emergency Medical Transport (VAN) | 4418 S. Oakenwald Ave, Chicago, IL 60653 | 2017-11-07 |
| 1245758309 | Qi Wellness LLC | Case Management | 525 E 46th Place, Chicago, IL 60653 | 2017-09-08 |
| 1598202897 | Fadesire O Ajuwon | Registered Nurse | 4218 S King Dr, 1n, Chicago, IL 60653 | 2017-01-24 |
| 1013464619 | Roundys Supermarkets Inc | Pharmacy | 3857 S Dr Martin Luther King Jr Dr, Chicago, IL 60653 | 2016-09-01 |
| 1417384793 | Griffin Orthodontics PC | Dentist | 1040 E 47th Street, Chicago, IL 60653 | 2013-10-02 |
| 1114350659 | Carita Dale Johnson | Pharmacist | 3753 S. Cottage Grove Ave, 104, Chicago, IL 60653 | 2013-08-20 |
| 1245677848 | Mercy Diagnostic and Treatment Center | Clinic/Center | 3755 S Cottage Grove, Chicago, IL 60653 | 2013-05-23 |
| 1952745937 | Mercy Community Pharmacy At Oakwood Shores | Pharmacy | 3753 S. Cottage Grove, Chicago, IL 60653 | 2013-04-22 |
| 1386952315 | Jami S Little | Developmental Therapist | 617 East 41st, Chicago, IL 60653 | 2010-09-24 |
| Find all providers in zip 60653 | ||||
| Taxonomy Code | 261QS1000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Student Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053822080 | Northestern Illinois University Student Health Services | Clinic/Center | 5500 N Saint Louis Ave Rm E-051, Chicago, IL 60625-4625 | 2017-10-17 |
| 1043630098 | Mcgaw Medical Center of Northwestern University | Clinic/Center | 240 E. Huron Street, Mcgaw Pavilion, Sutie 1-200, Chicago, IL 60611 | 2014-04-17 |
| 1407284664 | Pef Clinic II, Ltd. | Clinic/Center | 1955 E 75th St, Chicago, IL 60649-3688 | 2013-10-28 |
| 1508294091 | South Shore School of Leadership Health Center | Clinic/Center | 7627 S Constance Ave, Chicago, IL 60649-4009 | 2013-10-22 |
| 1043545007 | Circle Family Healthcare Network | Clinic/Center | 231 N Pine Ave, Chicago, IL 60644-2333 | 2009-10-08 |
| 1174765945 | Mclaren Oakland | Clinic/Center | 8172 Reliable Pkwy, Chicago, IL 60686-0001 | 2009-03-25 |
| 1740408186 | Swedish Covenant Hospital | Clinic/Center | 3436 W Wilson Ave, Chicago, IL 60625-5318 | 2007-04-23 |
| 1194845495 | Cook County | Clinic/Center | 4859 S Wabash Ave, Chicago, IL 60615-1008 | 2007-03-30 |
| 1831219450 | Cook County | Clinic/Center | 231 N Pine Ave # 133b, Chicago, IL 60644-2333 | 2007-03-29 |
| 1972623528 | Cook County | Clinic/Center | 4934 S Wabash Ave Rm 165, Chicago, IL 60615-2136 | 2007-03-29 |
| 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.