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GOTTLIEB ADULT DAY CENTER
NPI 1063967958
Clinic/Center - Adult Day Care in Melrose Park, IL

Active since August 20, 2016CLIA Certified · 2 labs
701 W NORTH AVE, MELROSE PARK, IL 60160(708) 538-5700(708) 538-4693 Get Directions Write a Review

NPPES record last updated: August 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gottlieb Adult Day Center NPPES

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

GOTTLIEB ADULT DAY CENTER (NPI 1063967958) is a healthcare organization registered as an adult day care in Melrose Park, Illinois and active in the NPI registry since August 2016. The organization holds 2 active CLIA laboratory certificates and lists Jill Nelson, Program Cordinator, as its authorized official.

NPPES Registry Identity

NPI1063967958
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameGOTTLIEB MEMORIAL HOSPITAL
Location Address701 W NORTH AVEMelrose Park, IL 60160-1612
Mailing Address701 W North AveMelrose Park, IL 60160-1612 · (708) 538-5700 · Fax (708) 538-4693
Phone(708) 538-5700
Fax(708) 538-4693
Organization SubpartNo
Authorized OfficialJill NelsonProgram Cordinator · (708) 538-5700
Enumeration DateAugust 20, 2016
✔ NPI 1063967958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
701 W NORTH AVE, Melrose Park, IL 60160
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Other Names 1

Doing Business AsGottlieb Adult Day Center

CLIA Laboratory Certificates CMS CLIA 2

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 Waiver 14D2238216

Gottlieb Memorial Hospital Lab - Waived Testing · Melrose Park, IL
Active · expires Sep 30, 2027
CLIA Number14D2238216
Laboratory TypeHospital
Certificate Effective DateOctober 1, 2025
Certificate Expiration DateSeptember 30, 2027
Laboratory DirectorJack A. Maggiore
Laboratory Phone(708) 216-9840
Laboratory LocationGottlieb Memorial Hospital Lab - Waived Testing701 W North Ave, Melrose Park, IL 60160
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 14D0042633

Gottlieb Memorial Hosp Laboratory · Melrose Park, IL
Active · expires Jan 2, 2027
CLIA Number14D0042633
Laboratory TypeHospital
Certificate Effective DateJanuary 3, 2025
Certificate Expiration DateJanuary 2, 2027
Laboratory DirectorDr. Jack A. Maggiore
Laboratory Phone(708) 450-4996
Laboratory LocationGottlieb Memorial Hosp Laboratory701 W North Ave, Melrose Park, IL 60160
CLIA data matches this NPI record on: Address
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.

DR. HENRY GIACINTO M. D.
Emergency Medicine
701 W NORTH AVE
MELROSE PARK, IL 60160
Cook County (708) 681-3200
FABIOLA ADRIANA NAVA-LOPEZ APN
Nurse Practitioner (Family)
701 W NORTH AVE
MELROSE PARK, IL 60160
Cook County (708) 681-3200
VICTORIA PREWITT
Case Manager/Care Coordinator
701 W NORTH AVE
MELROSE PARK, IL 60160
Cook County (708) 538-4816
KIMBERLY NICOLE STANFORD CRNA
Nurse Anesthetist, Certified Registered
701 W NORTH AVE, ANESTHESIA DEPARTMENT
MELROSE PARK, IL 60160
Cook County (708) 681-7859
CEPAMERICA ILLINOIS LLP
Emergency Medicine
701 W NORTH AVE
MELROSE PARK, IL 60160
Cook County (708) 681-3200
JULIE BARTOSKI
Occupational Therapist
701 W NORTH AVE
MELROSE PARK, IL 60160
Cook County (708) 681-3200
DR. NICOLETTE MARIE BERNHARDT PSYD
Psychologist (Clinical)
701 W NORTH AVE
MELROSE PARK, IL 60160
Cook County (708) 681-3200
JONATHAN BICKMANN
Nurse Anesthetist, Certified Registered
701 W NORTH AVE
MELROSE PARK, IL 60160
Cook County (708) 681-3200

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 Gottlieb Memorial Hospital's NPI number?

The NPI number for Gottlieb Memorial Hospital is 1063967958. It was assigned to this organization in the NPPES registry on August 20, 2016. The provider is doing business as Gottlieb Adult Day Center.

Where is Gottlieb Memorial Hospital located?

Gottlieb Memorial Hospital is located at 701 W North Ave, Melrose Park, IL 60160. The listed phone number is (708) 538-5700.

What is Gottlieb Memorial Hospital's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

Does Gottlieb Memorial Hospital hold CLIA laboratory certificates?

Yes. 2 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 Gottlieb Memorial Hospital was last updated on August 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.