MEDICARE: SAINT JOSEPH HOSPITAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207R00000X	Internal Medicine Physician
2	207RI0200X	Infectious Disease Physician
3	207V00000X	Obstetrics & Gynecology Physician
4	208000000X	Pediatrics Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1632129	OTHER	IL	BCBS PROVIDER #

General Provider Information

NPI Number	:	1366537920
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAINT JOSEPH HOSPITAL

Provider Business Mailing Address
First Line	:	2849 NORTH CLARK STREET
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657
Country	:	US
Telephone Number	:	773-528-1188
Fax Number	:	773-388-1753

Provider Business Practice Location Address
First Line	:	2849 NORTH CLARK STREET
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657
Country	:	US
Telephone Number	:	773-528-1188
Fax Number	:	773-388-1753

Authorized Official
Title or Position	:	NURSING SUPERVISOR
Name	:	ROSEMARY KAMINSKI
Credential	:
Telephone Number	:	773-528-1188

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	09/11/2025

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Directions to “SAINT JOSEPH HOSPITAL ” Practice Location

Language	Start Address	Practice Location

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