Healthcare Provider Details

I. General information

NPI: 1376305854
Provider Name (Legal Business Name): ELMHURST MEMORIAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2024
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 E BRUSH HILL RD
ELMHURST IL
60126-5658
US

IV. Provider business mailing address

3040 W SALT CREEK LN
ARLINGTON HEIGHTS IL
60005-1069
US

V. Phone/Fax

Practice location:
  • Phone: 331-221-3500
  • Fax: 331-221-2329
Mailing address:
  • Phone: 331-221-3500
  • Fax: 331-221-2329

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: SHAUN WALDER
Title or Position: VP, HOSPITAL PATIENT FINANCIAL SERV
Credential:
Phone: 630-646-3702