ALEXIAN BROTHERS MEDICAL CENTER (NPI# 1760421697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760421697 |
| Entity Type | Organization |
| Organization Name | ALEXIAN BROTHERS MEDICAL CENTER |
| Other Organization Name | ALEXIAN BROTHERS HOME HEALTH |
| Practice Address |
1515 E Lake St Suite 210 Hanover Park IL 60133-4896 |
| Practice Telephone | 6302335000 |
| Practice Fax Number | 6302335021 |
| Mailing Telephone | 6302335000 |
| Mailing Fax Number | 6302335021 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2016-11-17 |
| Authorized Official Name | LISA NEUMAN (VICE PRESIDENT, BUDGET/DECISION SUP) |
| Authorized Official Telephone | 8475902555 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 1006824 | IL | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BC/BS HOME HEALTH LICENSE | 9697 | 01 |
| IL | BC/BS INFUSION NUMBER | 2232303 | 01 |
| IL | HOME HEALTH LICENSE | 1006824 | 01 |
| Other Name | Type Code |
|---|---|
| Alexian Brothers Home Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316169949 | Alexian Brothers Medical Center | Medicare Defined Swing Bed Unit | 800 Biesterfield Rd Ste 605, Eberle Medical Office Building, Elk Grove Village, IL 60007-3362 | 2007-05-03 |
| 1902941628 | Alexian Brothers Medical Center | Rehabilitation Unit | 935 Beisner Rd, Elk Grove Village, IL 60007-3475 | 2007-02-20 |
| 1063833929 | Alexian Brothers Medical Center | Psychiatric Unit | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3361 | 2013-12-19 |
| 1720314115 | Alexian Brothers Medical Center | Hospice Care, Community Based | 1515 E Lake St, Suite 206, Hanover Park, IL 60133-4869 | 2009-10-20 |
| 1265577191 | Alexian Brothers Medical Center | General Acute Care Hospital | 800 Biesterfield Rd, Elk Grove Village, IL 60007-3311 | 2007-02-20 |
| 1477598589 | Alexian Brothers Medical Center | Specialist | 800 Biesterfield Rd, Suite 605, Elk Grove Village, IL 60007-3311 | 2006-06-20 |
| Street Address |
1515 E LAKE ST SUITE 210 |
| City | HANOVER PARK |
| State | IL |
| Zip Code | 60133-4896 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720597891 | Katelyn Mirabito | Physician Assistant | 1515 E Lake St, Hanover Park, IL 60133-4869 | 2017-09-21 |
| 1730548033 | Claire Brown | Social Worker | 1515 E Lake St, Hanover Park, IL 60133-4869 | 2016-02-15 |
| 1861885949 | Greater Elgin Family Care Center | Clinic/Center | 1515 E Lake St, Hanover Park, IL 60133-4869 | 2015-03-12 |
| 1447555180 | Teresa Joerger Davis | Speech-Language Pathologist | 1515 E Lake St, Hanover Park, IL 60133-4869 | 2011-01-11 |
| 1063728897 | Salman Khaleeluddin | Family Medicine | 1515 E Lake St, Hanover Park, IL 60133-4869 | 2010-08-31 |
| 1447562905 | Priya Dileep | Internal Medicine | 1515 E Lake St, Hanover Park, IL 60133-4869 | 2010-07-12 |
| 1720314115 | Alexian Brothers Medical Center | Hospice Care, Community Based | 1515 E Lake St, Suite 206, Hanover Park, IL 60133-4869 | 2009-10-20 |
| 1215166319 | Michael Brunner | Family Medicine | 1515 E Lake St, Attn: Abmg Primary Care, Hanover Park, IL 60133-4869 | 2009-07-09 |
| 1033361647 | Ls Medical Group,l.l.c. | Internal Medicine | 1515 E Lake St, Suite 208, Hanover Park, IL 60133-4896 | 2008-10-14 |
| 1275740961 | Alexian Brothers Home Infusion | Home Infusion | 1515 E Lake St, Suite 210, Hanover Park, IL 60133-4896 | 2007-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215302922 | Mangal Dhami | Pharmacist | 1877 Grosse Pointe Circle, Hanove Park, IL 60133 | 2015-12-07 |
| 1649588260 | Church Street Station Skilled Nursing and Living Center, LLC | Skilled Nursing Facility | 2000 W. Lake St., Hanover Park, IL 60133 | 2010-09-16 |
| 1578603395 | Shyam V N Rao | Dentist | 1601 Tanglewood Avenue, Hanover Park, IL 60133 | 2007-02-08 |
| 1851458939 | Robert Jan Bazan | Dentist | 2260 W Irving Pk Rd, Hanover Pk, IL 60133 | 2007-01-02 |
| 1215018635 | Alexian Brothers Corporate Health Services | Clinic/Center | 1515 W Lake Street, Ste 100, Hanover Park, IL 60133 | 2006-10-19 |
| 1225120462 | Hanover Park Physical Medicine & Rehabilitation Ltd | Chiropractor | 1802 Irving Park Road, Hanover Park, IL 60133 | 2006-09-28 |
| 1447350830 | Ismail E Atcha | Internal Medicine | 5420 Cloverdale Road, Hanover Park, ILLINOIS 60133 | 2006-09-25 |
| 1013013374 | Antonio B Cruz | General Practice | 1601 Tanglewood, Suite 106, Hanover Park, IL 60133 | 2006-09-15 |
| 1326143223 | Matthew J Faith | Dentist | 1645 Irving Park Road, Hanover Park, IL 60133 | 2006-09-14 |
| 1992818827 | Ketan Narandas Jobanputra | Obstetrics & Gynecology | 1515 West Lake Street, #208, Alexian Brothers' Hospital Pavilion, Hanover Park, IL 60133 | 2006-08-16 |
| Find all providers in zip 60133 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518266774 | Angels Touch Support LLC | Home Health | 8124 Kensington Ln, Hanover Park, IL 60133-2337 | 2011-03-26 |
| 1083921290 | Nursecareplus Home Healthcare Corp. | Home Health | 2172 Oakdale Cir, Hanover Park, IL 60133-8802 | 2010-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477355 | Bijou Alokpovi | Home Health | 2294 Nichols Rd Apt D, Arlington Heights, IL 60004-1177 | 2020-11-07 |
| 1396346474 | A Smith At Your Service | Home Health | 2504 7th Ave, Rock Island, IL 61201-9027 | 2020-11-04 |
| 1639779564 | A Delightful Homelife Healthcare Services LLC | Home Health | 4027 N Washington St, Westmont, IL 60559-1332 | 2020-10-29 |
| 1730789074 | Greys Medical Services | Home Health | 419 Highland Ave, West Dundee, IL 60118-1224 | 2020-10-27 |
| 1538769898 | Treasured Hands Home Health Agency, LLC | Home Health | 5819 N Kimball Ave, Chicago, IL 60659-3503 | 2020-10-27 |
| 1689280943 | Servucare Home Care | Home Health | 4803 Javelin Dr, Rockford, IL 61108-2301 | 2020-09-21 |
| 1407461213 | Chantel Coad | Home Health | 701 Devonshire Dr Ste B13, Champaign, IL 61820-7328 | 2020-09-09 |
| 1881208239 | Solidex Group LLC | Home Health | 3356 W Columbia Ave Apt 2, Lincolnwood, IL 60712-3855 | 2020-09-02 |
| 1134733835 | Bethany North Suburban Group | Home Health | 2601 Chestnut Ave Unit 3310, Glenview, IL 60026-8317 | 2020-09-01 |
| 1528670171 | Jessica Renee Paul | Home Health | 647 W Losey St Ste 3, Galesburg, IL 61401-2594 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
| City | HANOVER PARK |
| Zip Code | 60133 |
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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.