Healthcare Provider Details

I. General information

NPI: 1689775736
Provider Name (Legal Business Name): PRESENCE CHICAGO HOSPITALS NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 03/07/2024
Certification Date: 03/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N RIVER RD
DES PLAINES IL
60016-1209
US

IV. Provider business mailing address

100 N RIVER RD
DES PLAINES IL
60016-1209
US

V. Phone/Fax

Practice location:
  • Phone: 847-297-1800
  • Fax: 847-297-4348
Mailing address:
  • Phone: 847-297-1800
  • Fax: 847-297-4348

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code284300000X
TaxonomySpecial Hospital
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number0006023
License Number StateIL

VIII. Authorized Official

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