KINDRED THC CHICAGO, LLC (NPI# 1780769257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780769257 |
| Entity Type | Organization |
| Organization Name | KINDRED THC CHICAGO, LLC |
| Other Organization Name | KINDRED HOSPITAL - SYCAMORE |
| Practice Address |
225 Edward St Sycamore IL 60178 |
| Mailing Address |
225 Edward St Sycamore IL 60178-2137 |
| Practice Telephone | 8158952144 |
| Practice Fax Number | 8158957057 |
| Mailing Telephone | 8158952144 |
| Mailing Fax Number | 8158957057 |
| 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 | 0004945 | IL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS | 28 | 01 |
| Other Name | Type Code |
|---|---|
| Kindred Hospital - Sycamore | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578648028 | Kindred Thc Chicago, LLC | Long Term Care Hospital | 4058 W Melrose St, Chicago, IL 60641 | 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 |
225 EDWARD ST |
| City | SYCAMORE |
| State | IL |
| Zip Code | 60178 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200178 | Kindred Sycamore, LLC | Long Term Care Hospital | 225 Edward St, Sycamore, IL 60178-2137 | 2020-09-22 |
| 1942866959 | Syvil Cabanlit Zamoras | Physical Therapist | 225 Edward St, Sycamore, IL 60178-2137 | 2019-05-15 |
| 1114219433 | Kindred Heathcare Operating, Inc | Hospitalist | 225 Edward St, Sycamore, IL 60178-2137 | 2011-05-04 |
| 1528397197 | Knd Development 59 LLC | Hospitalist | 225 Edward St, Sycamore, IL 60178-2137 | 2009-12-10 |
| 1568694636 | M I M Hematology-oncology LLC | Internal Medicine | 225 Edward St, Sycamore, IL 60178 | 2009-08-21 |
| 1083862452 | Kindred Thc Chicago, LLC | Specialist | 225 Edward St, Sycamore, IL 60178 | 2008-08-28 |
| 1023230851 | Mohammad Taghi Takhtehchian | Internal Medicine | 225 Edward St, Sycamore, IL 60178-2137 | 2007-05-02 |
| 1093843062 | Medventures Medical LLC | Internal Medicine | 225 Edward St, Sycamore, IL 60178-2137 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578113387 | Susanne Dewey | Technician | 2158 W. Vance St., Sycamore, IL 60178 | 2019-09-13 |
| 1730745332 | Nan Chinratana Phillips | Registered Nurse | 427 Spartan Trail Shs Nurse Office, Sycamore, IL 60178 | 2019-05-20 |
| 1427517846 | Association for Individual Development | Clinic/Center | 180 E. Exchange St., #202a, Sycamore, IL 60178 | 2019-03-15 |
| 1528508884 | Mary Elizabeth Kelley | Counselor | 920 S Prairie Dr., F, Sycamore, IL 60178 | 2017-03-06 |
| 1366824005 | Dekalb Hearing Services, LLC | Audiologist | 1630 Gateway Drive, Sycamore, IL 60178 | 2015-06-18 |
| 1629458625 | Friedrichs Eye Ltd. | Ophthalmology | 2670 Dekalb Avenue, Sycamore, IL 60178 | 2015-06-04 |
| 1275912057 | Sara Haug | Counselor | 324 E. Exchange St, Sycamore, IL 60178 | 2015-05-26 |
| 1144607862 | Dekalb Surgical Services, LLC | Clinic/Center | 2515 Klein Road, Sycamore, IL 60178 | 2015-05-01 |
| 1720476963 | Jennifer Calderala | Registered Nurse | 165 E. Plank Road, Sycamore, IL 60178 | 2014-12-22 |
| 1114262656 | Teresa Kay Farris | Nurse Practitioner | 1850 Gateway Drive, Sycamore, IL 60178 | 2012-12-11 |
| Find all providers in zip 60178 | ||||
| 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 |
|---|---|---|---|---|
| 1881200178 | Kindred Sycamore, LLC | Long Term Care Hospital | 225 Edward St, Sycamore, IL 60178-2137 | 2020-09-22 |
| 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 |
| 1578648028 | Kindred Thc Chicago, LLC | Long Term Care Hospital | 4058 W Melrose St, Chicago, IL 60641 | 2006-10-25 |
| 1023192572 | Lynda Kerstin De La Cotera | Long Term Care Hospital | 211 Franklin Ave, River Forest, IL 60305-2115 | 2006-10-24 |
| 1447204375 | Genesis Health System | Long Term Care Hospital | 1455 Hospital Rd, Silvis, IL 61282-1834 | 2006-05-22 |
| 1952304826 | Rml Health Providers Limited Partnership | Long Term Care Hospital | 5601 South County Line Road, Hinsdale, IL 60521 | 2005-05-24 |
| 1508472804 | Kindred Chicago Northlake, LLC | Long Term Care Hospital | 365 E North Ave, Northlake, IL 60164-2628 | 2020-09-22 |
| 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 |
| 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.