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LORETTO HOSPITAL NPI 1831364132


NPI Information

NPI: 1831364132
Provider Name: LORETTO HOSPITAL

Doing Business As: LORETTO OUTPATIENT MENTAL HEALTH

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
5120 W JACKSON BLVD
CHICAGO, IL
ZIP 60644
Phone: (773) 854-5072
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LORETTO HOSPITAL is a mental health (including community mental health center) clinic center in Chicago, IL. LORETTO HOSPITAL NPI is 1831364132. The provider is registered as an organization entity type.
The provider Is Doing Business As Loretto Outpatient Mental Health.

The provider's business location address is:

5120 W JACKSON BLVD
CHICAGO, IL
ZIP 60644-332
Phone: (773) 854-5072
Fax: (773) 287-0077

The provider's authorized official is James Hartman .
The authorized official title is Director Of Revenue Cycle and has the following contact phone number (773) 854-5066.

The enumeration date for this NPI number is 4/28/2008 and was last updated on 7/20/2021.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)1706406ILLINOISYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.