South Shore Hospital is a
Registered Nurse based in Chicago, Illinois. South Shore Hospital is licensed to practice in Illinois (license number 041.147476) and their current practice location is
8012 S Crandon Ave, Chicago, Illinois. It can be reached at their office (for appointments etc.) via phone at
(773) 356-5200.
NPI number for South Shore Hospital is 1225479470 and their current mailing address is 8012 S Crandon Ave, Chicago, Illinois. South Shore Hospital
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1225479470.
Healthcare Provider's Profile
Full Name | South Shore Hospital |
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Type | Facility |
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Speciality | Registered Nurse |
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Location | 8012 S Crandon Ave, Chicago, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225479470
- Provider Enumeration Date: 07/16/2013
- Last Update Date: 12/31/2013
Medical Identifiers
Medical identifiers for South Shore Hospital such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225479470 | NPI | - | NPPES |
51204952001 | Medicaid | IL | |
214641 | Other | IL | AMERICAN ASSOCIATION OF DIABETES EDUCATORS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 164.004009 (Illinois) | Secondary |
163W00000X | Registered Nurse | 041.147476 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. South Shore Hospital is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
South Shore Hospital 8012 S Crandon Ave, Chicago, IL 60617-1124 Ph: (773) 356-5200 | South Shore Hospital 8012 S Crandon Ave, Chicago, IL 60617-1124 Ph: (773) 356-5200 |
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