MEDICARE: THOREK MEMORIAL HOSPITAL

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	273R00000X	Psychiatric Hospital Unit	0000125	IL
2	282N00000X	General Acute Care Hospital	0000125	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891755351
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THOREK MEMORIAL HOSPITAL

Provider Business Mailing Address
First Line	:	5025 N PAULINA ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-2772
Country	:	US
Telephone Number	:	773-271-9040
Fax Number	:	773-271-2010

Provider Business Practice Location Address
First Line	:	5025 N PAULINA ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60640-2772
Country	:	US
Telephone Number	:	773-271-9040
Fax Number	:	773-271-2010

Authorized Official
Title or Position	:	CEO
Name	:	EDWARD BUDD
Credential	:
Telephone Number	:	773-975-6705

Provider Enumeration Date	:	03/27/2006
Last Update Date	:	07/07/2025

Similar Medicare Providers

1861757874 — CLEMENT S ROSE MD PC
Practice Location Address:

5025 N PAULINA ST STE 501
CHICAGO, IL
60640-2772

Practice Phone: 773-599-4363
Practice Fax: 773-599-4788

1346238177 — CLEMENT S ROSE M.D.
Practice Location Address:

5025 N PAULINA ST STE 501
CHICAGO, IL
60640-2772

Practice Phone: 773-599-4363
Practice Fax: 773-599-4788

1396729554 — DR. ROMAN F NIZIOLEK M.D.
Practice Location Address:

5025 N PAULINA ST
CHICAGO, IL
60640-2772

Practice Phone: 773-271-9040
Practice Fax: 773-989-1516

1255304382 — WIN CARE MEDICAL CONSULTANTS LTD
Practice Location Address:

5025 N PAULINA ST STE 501
CHICAGO, IL
60640-2772

Practice Phone: 773-599-4363
Practice Fax: 773-599-4788

1437124419 — DR. MAHER AL-KOUBAYTARI M.D.
Practice Location Address:

5025 N PAULINA ST
CHICAGO, IL
60640-2772

Practice Phone: 773-931-8082
Practice Fax: 888-847-9526

1790743771 — DR. STANLEY H. ROSENTHAL M.D.
Practice Location Address:

5025 N PAULINA ST
CHICAGO, IL
60640-2772

Practice Phone: 773-271-9040
Practice Fax:

Directions to “THOREK MEMORIAL HOSPITAL ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.