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ROSELAND COMMUNITY HOSPITAL ASSOCIATION NPI 1306029889


NPI Information

NPI: 1306029889
Provider Name: ROSELAND COMMUNITY HOSPITAL ASSOCIATION

Doing Business As: ROSELAND COMMUNITY HOSPITAL

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
45 W 111TH ST
CHICAGO, IL
ZIP 60628
Phone: (773) 995-3000
Get Directions

ROSELAND COMMUNITY HOSPITAL ASSOCIATION is an obstetrics gynecology in Chicago, IL. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. ROSELAND COMMUNITY HOSPITAL ASSOCIATION NPI is 1306029889. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Roseland Community Hospital.

The provider's business location address is:

45 W 111TH ST
CHICAGO, IL
ZIP 60628-200
Phone: (773) 995-3000
Fax: (773) 995-6602

The provider's authorized official is Robert Vais .
The authorized official title is CHIEF FINANCIAL OFFICEROfficer and has the following contact phone number (773) 995-3000.

The enumeration date for this NPI number is 12/7/2007 and was last updated on 2/29/2024.


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
1207L00000XAnesthesiologyNo
2207R00000XInternal MedicineNo
3207RP1001XInternal MedicinePulmonary DiseaseNo
4207RR0500XInternal MedicineRheumatologyNo
52080N0001XPediatricsNeonatal-Perinatal MedicineNo
6208100000XPhysical Medicine & RehabilitationNo
72083P0011XPreventive MedicineUndersea and Hyperbaric MedicineNo
82084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryNo
9208600000XSurgery036117915ILLINOISNo
10208D00000XGeneral PracticeNo
11208VP0000XPain MedicinePain MedicineNo
12367500000XNurse Anesthetist, Certified RegisteredNo
13207V00000XObstetrics & GynecologyYes

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
101622034OTHERBCBS
201622034OTHERILLINOISBLUE SHIELD

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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