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SOUTH SHORE HOSPITAL CORPORATION
NPI 1053391359
General Acute Care Hospital in Chicago, IL

Active since January 20, 2006CLIA 14D0699141 · Accreditation
8012 S CRANDON AVE, FINANCE DEPARTMENT, CHICAGO, IL 60617(773) 356-5312(773) 768-8154 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About South Shore Hospital Corporation NPPES

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

SOUTH SHORE HOSPITAL CORPORATION (NPI 1053391359) is a healthcare organization registered as a general acute care hospital in Chicago, Illinois and active in the NPI registry since January 2006. The organization holds an CLIA Accreditation certificate valid through November 3, 2026 and lists Timothy Arthur Caveney, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1053391359
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameSOUTH SHORE HOSPITAL CORPORATION
Location Address8012 S CRANDON AVE, FINANCE DEPARTMENTChicago, IL 60617-1124
Mailing Address8012 S Crandon Ave, Finance DepartmentChicago, IL 60617-1124 · (773) 356-5312 · Fax (773) 768-8154
Phone(773) 356-5312
Fax(773) 768-8154
Organization SubpartNo
Authorized OfficialTimothy Arthur CaveneyChief Financial Officer · (773) 356-5312
Enumeration DateJanuary 20, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1053391359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License✔ Licensed in IL · 1706462
Definition

An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.

8012 S CRANDON AVE, Chicago, IL 60617
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Other Identifiers 1

Medicaid510204952001IL

CLIA Laboratory Certificates CMS CLIA

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 14D0699141

South Shore Hospital Respiratory Care · Chicago, IL
Active · expires Nov 3, 2026
CLIA Number14D0699141
Laboratory TypeHospital
Certificate Effective DateNovember 4, 2024
Certificate Expiration DateNovember 3, 2026
Laboratory DirectorOlusegun Apata MD
Laboratory Phone(773) 356-5165
Laboratory LocationSouth Shore Hospital Respiratory Care8012 S Crandon Ave, Chicago, IL 60617
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.

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.

C TYSON MD
Internal Medicine (Cardiovascular Disease)
8012 S CRANDON AVE
CHICAGO, IL 60617
Cook County (773) 734-1117
ADVANCED IMAGING SERVICES
Radiology (Diagnostic Radiology)
8012 S CRANDON AVE
CHICAGO, IL 60617
Cook County (773) 356-5000
DR. NATALIA D DEJNEKA MD
Emergency Medicine
8012 S CRANDON AVE
CHICAGO, IL 60617
Cook County (773) 356-5331
DR. LORNA C. LAGUNA M.D.
Anesthesiology
8012 S CRANDON AVE
CHICAGO, IL 60617
Cook County (773) 356-5381
KIM ANESTHESIOLOGISTS, P.C.
Anesthesiology
8012 S CRANDON AVE
CHICAGO, IL 60617
Cook County (773) 356-5381
SOUTH SHORE HOSPITAL CORPORATION
Registered Nurse
8012 S CRANDON AVE
CHICAGO, IL 60617
Cook County (773) 356-5200
HEARTLAND EMERGENCY PHYSICIANS PLLC
Emergency Medicine
8012 S CRANDON AVE
CHICAGO, IL 60617
Cook County (773) 356-5447
ARPIT SURESH SHAH DO
Internal Medicine (Cardiovascular Disease)
8012 S CRANDON AVE, SUITE 100
CHICAGO, IL 60617
Cook County (708) 356-5415

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 South Shore Hospital Corporation's NPI number?

The NPI number for South Shore Hospital Corporation is 1053391359. It was assigned to this organization in the NPPES registry on January 20, 2006.

Where is South Shore Hospital Corporation located?

South Shore Hospital Corporation is located at 8012 S Crandon Ave Finance Department, Chicago, IL 60617. The listed phone number is (773) 356-5312.

What is South Shore Hospital Corporation's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

Does South Shore Hospital Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 14D0699141) is associated with this NPI, valid through November 3, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Shore Hospital Corporation was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.