THOREK MEMORIAL HOSPITAL (NPI# 1891755351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891755351 |
| Entity Type | Organization |
| Organization Name | THOREK MEMORIAL HOSPITAL |
| Other Organization Name | THOREK MEMORIAL HOSPITAL DBA METHODIST HOSPITAL OF CHICAGO |
| Practice Address |
5025 N Paulina St Chicago IL 60640-2772 |
| Practice Telephone | 7732719040 |
| Practice Fax Number | 7732712010 |
| Mailing Telephone | 7732719040 |
| Mailing Fax Number | 7732712010 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2020-03-05 |
| Authorized Official Name | EDWARD BUDD (CEO) |
| Authorized Official Telephone | 7739756705 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 273R00000X | Psychiatric Unit | 0000125 | IL | Hospital Units |
| Y | 282N00000X | General Acute Care Hospital | 0000125 | IL | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 362012788001 | 05 | |
| IL | 362012788002 | 05 |
| Other Name | Type Code |
|---|---|
| Methodist Hospital of Chicago | Doing Business As Name - Organization |
| Thorek Memorial Hospital dba Methodist Hospital of Chicago | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350955 | Thorek Memorial Hospital | Clinic/Center | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2020-09-10 |
| 1245441815 | Thorek Memorial Hospital | Pharmacy | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2007-05-25 |
| 1982643961 | Thorek Memorial Hospital | General Acute Care Hospital | 850 W Irving Park Rd, Chicago, IL 60613-3077 | 2006-06-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | THOREK MEMORIAL HOSPITAL | 850 W Irving Park Rd Ste 306, Chicago, IL 60613-3077 |
| Street Address |
5025 N PAULINA ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-2772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396729554 | Roman F Niziolek | Emergency Medicine | 5025 N Paulina St, Chicago, IL 60640-2772 | 2005-12-01 |
| 1376071993 | Hana L Keil | Social Worker | 5025 N Paulina St, Chicago, IL 60640-2772 | 2017-05-26 |
| 1013306240 | Jessica Wunder | Nurse Practitioner | 5025 N Paulina St, Chicago, IL 60640 | 2015-01-12 |
| 1205264116 | Lindsay Brooke Abbott | Nurse Practitioner | 5025 N Paulina St, Chicago, IL 60640-2772 | 2013-10-31 |
| 1386993582 | Reet Wangerin | Anesthesiology | 5025 N Paulina St, Chicago, IL 60640-2772 | 2012-09-04 |
| 1558698589 | Bethany Homes and Methodist Hospital | Internal Medicine | 5025 N Paulina St, Chicago, IL 60640-2772 | 2009-11-12 |
| 1831365121 | Floarea Chis | Anesthesiology | 5025 N Paulina St, Chicago, IL 60640-2772 | 2008-05-06 |
| 1497942783 | Ailyn Tan Md Sc | Clinical Medical Laboratory | 5025 N Paulina St, Chicago, IL 60640-2772 | 2007-10-01 |
| 1174644389 | Lakeside Radiologists, Sc | Radiology | 5025 N Paulina St, Chicago, IL 60640-2772 | 2007-04-03 |
| 1790805778 | Zarina Z. Bandukwala | Emergency Medicine | 5025 N Paulina St, Chicago, IL 60640-2772 | 2007-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801337506 | University of Chicago Medical Center | General Acute Care Hospital | 1122 Paysphere Cir, Chicago, IL 60674-0011 | 2017-03-14 |
| 1336598937 | Daniel Benjamin Holt Jr. | General Acute Care Hospital | 2448 N Seminary Ave, Apt 2b, Chicago, IL 60614-7445 | 2016-06-06 |
| 1841650942 | Latoyia Roman | General Acute Care Hospital | 6756 S Oglesby Ave, Unit 1, Chicago, IL 60649-1316 | 2016-03-02 |
| 1306203583 | Rush University Medical Center | General Acute Care Hospital | 4536 N Greenview Ave Apt 2n, Chicago, IL 60640-5475 | 2016-01-19 |
| 1144694639 | Danielle Marie Valentino | General Acute Care Hospital | 5841 S Maryland Ave # Mc6065, Chicago, IL 60637-1443 | 2015-11-20 |
| 1467830745 | Mcgaw Medical Center of Nu | General Acute Care Hospital | 737 N Michigan Ave, Ste 1600 Nmh, Cardiovascular Imaging, Chicago, IL 60611 | 2015-05-07 |
| 1467846022 | Andres Maldonad | General Acute Care Hospital | 6019 S Ingleside Ave, Apartment 902, Chicago, IL 60637-2600 | 2015-03-22 |
| 1093117921 | Sj Termini, Dds PC | General Acute Care Hospital | 1074 W Taylor St # 207, Chicago, IL 60607-4336 | 2014-09-23 |
| 1982014841 | None | General Acute Care Hospital | 2323 W 114th St, Chicago, IL 60643-4108 | 2014-04-30 |
| 1770905804 | Esad Zisko | General Acute Care Hospital | 2441 W Farragut Ave Apt 3b, Chicago, IL 60625-2477 | 2014-01-08 |
| 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.