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SOUTH SHORE HOSPITAL CORPORATION NPI 1225479470


NPI Information

NPI: 1225479470
Provider Name: SOUTH SHORE HOSPITAL CORPORATION

Doing Business As: SOUTH SHORE HOSPITAL

Classification: Registered Nurse - 163W00000X
Entity Type: Organization

CLIA Number: 14D0424913

Address:
8012 S CRANDON AVE
CHICAGO, IL
ZIP 60617
Phone: (773) 356-5200
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SOUTH SHORE HOSPITAL CORPORATION is a registered nurse in Chicago, IL. The provider is (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. SOUTH SHORE HOSPITAL CORPORATION NPI is 1225479470. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As South Shore Hospital.

The provider's business location address is:

8012 S CRANDON AVE
CHICAGO, IL
ZIP 60617-124
Phone: (773) 356-5200
Fax: (773) 768-8154

The provider's authorized official is Leslie M. Rogers .
The authorized official title is Administrator and has the following contact phone number (773) 356-5200.

The CLIA number assigned to this NPI record is 14D0424913 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/16/2013 and was last updated on 12/31/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133V00000XDietitian, Registered164.004009ILLINOISNo
2163W00000XRegistered Nurse041.147476ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11053391359MEDICARE PINILLINOIS
251204952001MEDICAIDILLINOIS
3214641OTHERILLINOISAMERICAN ASSOCIATION OF DIABETES EDUCATORS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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