Provider Demographics
NPI:1942414131
Name:SAINT JOSEPH HOSPITAL
Entity Type:Organization
Organization Name:SAINT JOSEPH HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:E
Authorized Official - Last Name:STRUXNESS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-665-3000
Mailing Address - Street 1:2900 N LAKE SHORE DR
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-5640
Mailing Address - Country:US
Mailing Address - Phone:773-665-3000
Mailing Address - Fax:
Practice Address - Street 1:528 W WELLINGTON AVE
Practice Address - Street 2:APT #302
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-5413
Practice Address - Country:US
Practice Address - Phone:773-678-5449
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital