Jackson Park Hospital Foundation

LBN: Jackson Park Hospital Foundation
Jackson Park Hospital Foundation is an health care organization with primary practice located at 7531 S Stony Island Ave , Chicago IL 60649-3954. The organization recently has 2 registered licenses in different health care specialties including Hospital Units / Psychiatric Unit, Hospitals / General Acute Care Hospital. Hospitals / General Acute Care Hospital is the primary health care specialty. Jackson Park Hospital Foundation can be contacted via phone (773) 947-7500, or through Hasbrouck, Merritt J. via phone (773) 947-7500.

Contact Information

Primary practice address
7531 S Stony Island Ave Chicago IL 60649-3954
Fax: (773) 947-7339
Website:
Authorized official contact:
Name: Hasbrouck, Merritt J.

Health care specialties

SpecialtyCodeLicense #State
Hospital Units / Psychiatric Unit 273R00000X 0001115 Illinois
Hospitals / General Acute Care Hospital 282N00000X 0001115 Illinois

Profile Details

NPI number 1497750699
LBN Legal business name Jackson Park Hospital Foundation
DBA Doing business as
Authorized official Hasbrouck, Merritt J.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2005
Last updated Jan 28th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497750699 NPPES
Illinois Other 0026 BLUECROSS

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