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ST. JOSEPH HOSPITAL NPI 1194939215


NPI Information

NPI: 1194939215
Provider Name: ST. JOSEPH HOSPITAL

Doing Business As: SJH PEDIATRIC OPTHALMOLOGY

Classification: Optometrist - 152WP0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
2900 N LAKE SHORE DR.
CHICAGO, IL
ZIP 60657
Phone: (773) 665-3000
Get Directions

ST. JOSEPH HOSPITAL is a pediatrics optometrist in Chicago, IL. The provider is optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. ST. JOSEPH HOSPITAL NPI is 1194939215. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sjh Pediatric Opthalmology.

The provider's business location address is:

2900 N LAKE SHORE DR.
CHICAGO, IL
ZIP 60657
Phone: (773) 665-3000

The provider's authorized official is Ronald E Struxness .
The authorized official title is Chief Executive Officer and has the following contact phone number (773) 665-3000.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 8/4/2008.


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
1152WP0200XOptometristPediatrics036074319ILLINOISYes

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
101632129OTHERILLINOISBCBS OF IL GROUP PROVIDER
2901650MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE GROUP PROVIDER

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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