Healthcare Provider Details

I. General information

NPI: 1467599803
Provider Name (Legal Business Name): PRESENCE CHICAGO HOSPITALS NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 01/01/2022
Certification Date: 01/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1127 N OAKLEY BLVD 4TH FLOOR
CHICAGO IL
60622-3507
US

IV. Provider business mailing address

1431 N CLAREMONT AVE
CHICAGO IL
60622-1702
US

V. Phone/Fax

Practice location:
  • Phone: 773-572-8500
  • Fax: 773-572-8568
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: LISA E NEUMAN
Title or Position: VP FINANCE
Credential:
Phone: 224-273-0516