South Shore Hospital Corporation

LBN: South Shore Hospital Corporation
South Shore Hospital Corporation is an health care organization with primary practice located at 8012 S Crandon Ave Finance Department, Chicago IL 60617-1124. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. South Shore Hospital Corporation can be contacted via phone (773) 356-5312, or through Caveney, Timothy Arthur via phone (773) 356-5312.

Contact Information

Primary practice address
8012 S Crandon Ave Finance Department Chicago IL 60617-1124
Phone: (773) 356-5312
Fax: (773) 768-8154
Website:
Map and Directions
Authorized official contact:
Name: Caveney, Timothy Arthur
Phone: (773) 356-5312

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X 1706462 Illinois

Profile Details

NPI number 1053391359
LBN Legal business name South Shore Hospital Corporation
DBA Doing business as
Authorized official Caveney, Timothy Arthur
Entity Organization
Organization subpart 1 No
Enumeration date Jan 20th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1053391359 NPPES
Illinois MEDICAID 510204952001

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