South Shore Hospital Corporation is a
Registered Nurse based in Chicago, Illinois. South Shore Hospital Corporation 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 Corporation is 1225479470 and their current mailing address is 8012 S Crandon Ave, Chicago, Illinois. South Shore Hospital Corporation
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 Corporation |
|---|
| Type | Facility |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 8012 S Crandon Ave, Chicago, Illinois |
|---|
| 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 Corporation 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 Corporation 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 Corporation 8012 S Crandon Ave, Chicago, IL 60617-1124 Ph: (773) 356-5200 | South Shore Hospital Corporation 8012 S Crandon Ave, Chicago, IL 60617-1124 Ph: (773) 356-5200 |
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