South Shore Hospital

LBN: South Shore Hospital Corporation
South Shore Hospital is an health care organization with primary practice located at 8012 S Crandon Ave , Chicago IL 60617-1124. The organization recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is the primary health care specialty. South Shore Hospital Corporation can be contacted via phone (773) 356-5200, or through Rogers, Leslie M. via phone (773) 356-5200.

Contact Information

Primary practice address
8012 S Crandon Ave Chicago IL 60617-1124
Phone: (773) 356-5200
Fax: (773) 768-8154
Website:
Map and Directions
Authorized official contact:
Name: Rogers, Leslie M. CHE
Phone: (773) 356-5200

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 164.004009 Illinois
Nursing Service Providers / Registered Nurse 163W00000X 041.147476 Illinois

Profile Details

NPI number 1225479470
LBN Legal business name South Shore Hospital Corporation
DBA Doing business as South Shore Hospital
Authorized official Rogers, Leslie M. CHE
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2013
Last updated Dec 31st, 2013 - about 11 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 1225479470 NPPES
Illinois MEDICAID 51204952001
Illinois Other 214641

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