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LORETTO HOSPITAL
NPI 1023342664
Clinic/Center - Mental Health (Including Community Mental Health Center) in Chicago, IL

Active since September 30, 2009CLIA Certified · 3 labs
645 S CENTRAL AVE, CHICAGO, IL 60644(773) 854-5066(773) 626-7902 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Loretto Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LORETTO HOSPITAL (NPI 1023342664) is a healthcare organization registered as a mental health (including community mental health center) in Chicago, Illinois and active in the NPI registry since September 2009. The organization holds 3 active CLIA laboratory certificates and lists Tesa A, Interim President/ceo, as its authorized official.

NPPES Registry Identity

NPI1023342664
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameLORETTO HOSPITAL
Location Address645 S CENTRAL AVEChicago, IL 60644-5059
Mailing Address645 S Central AveChicago, IL 60644-5059 · (773) 854-5066 · Fax (773) 626-7902
Phone(773) 854-5066
Fax(773) 626-7902
Organization SubpartNo
Authorized OfficialTesa AInterim President/ceo · (773) 854-5000
Enumeration DateSeptember 30, 2009
Last NPPES UpdateJune 30, 2022
NPPES CertifiedJune 30, 2022
✔ NPI 1023342664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License✔ Licensed in IL · 1899715
645 S CENTRAL AVE, Chicago, IL 60644
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CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 14D0895390

Loretto Hospital/Cardiopulmonary · Chicago, IL
Active · expires Mar 6, 2027
CLIA Number14D0895390
Laboratory TypeHospital
Certificate Effective DateMarch 7, 2025
Certificate Expiration DateMarch 6, 2027
Laboratory DirectorDr. Ibrahim Majzoub
Laboratory Phone(773) 854-5593
Laboratory LocationLoretto Hospital/Cardiopulmonary645 South Central Avenue, Chicago, IL 60644
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 14D0670293

Loretto Hospital · Chicago, IL
Active · expires Feb 8, 2027
CLIA Number14D0670293
Laboratory TypeHospital
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. Archana A. Bargaje
Laboratory Phone(773) 854-5264
Laboratory LocationLoretto Hospital645 South Central Avenue, Chicago, IL 60644
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 14D0897315

Loretto Hospital Point-Of-Care Testing · Chicago, IL
Active · expires Jan 31, 2027
CLIA Number14D0897315
Laboratory TypeHospital
Certificate Effective DateFebruary 1, 2025
Certificate Expiration DateJanuary 31, 2027
Laboratory DirectorDilipkumar D. Dharkar M D
Laboratory Phone(312) 626-4300
Laboratory LocationLoretto Hospital Point-Of-Care Testing645 South Central Avenue, Chicago, IL 60644
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RADHIKA TANDON
Student in an Organized Health Care Education/Training Program
645 S CENTRAL AVE
CHICAGO, IL 60644
Cook County (773) 887-8149
FERRER HAMEED
Physical Therapist
645 S CENTRAL AVE
CHICAGO, IL 60644
Cook County (773) 854-5580
AHMAD ELZOKAKY
Psychiatry & Neurology (Psychiatry)
645 S CENTRAL AVE
CHICAGO, IL 60644
Cook County (773) 626-4300
RAGHAV REDDY PALLE MD
Student in an Organized Health Care Education/Training Program
645 S CENTRAL AVE
CHICAGO, IL 60644
Cook County (773) 626-4300
ARUN RAVI
Psychiatry & Neurology (Behavioral Neurology & Neuropsychiatry)
645 S CENTRAL AVE
CHICAGO, IL 60644
Cook County (773) 626-4300
KEISHA MICHELLE GASKIN MS, RD
Dietitian, Registered
645 S CENTRAL AVE
CHICAGO, IL 60644
Cook County (773) 633-9991
DR. M S BHAGAVAN M.D.
Internal Medicine
645 S CENTRAL AVE
CHICAGO, IL 60644
Cook County (708) 275-7458
DR. BELA NAND M.D.
Internal Medicine
645 S CENTRAL AVE
CHICAGO, IL 60644
Cook County (773) 854-5588

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Loretto Hospital's NPI number?

The NPI number for Loretto Hospital is 1023342664. It was assigned to this organization in the NPPES registry on September 30, 2009.

Where is Loretto Hospital located?

Loretto Hospital is located at 645 S Central Ave, Chicago, IL 60644. The listed phone number is (773) 854-5066.

What is Loretto Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Loretto Hospital hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Loretto Hospital was last updated on June 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.