LABOURE OUTPATIENT
NPI 1124116876
Internal Medicine in Chicago, IL

Active since October 10, 2006CLIA Certified · 2 labs
2900 NORTH LAKESHORE DRIVE, 1ST FLOOR CLINIC, CHICAGO, IL 60657(773) 665-3080(773) 665-3498 Get Directions Write a Review

NPPES record last updated: April 11, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Laboure Outpatient NPPES

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

LABOURE OUTPATIENT (NPI 1124116876) is a healthcare organization registered as an internal medicine in Chicago, Illinois and active in the NPI registry since October 2006. The organization holds 2 active CLIA laboratory certificates and lists Melvonne Wickliffe-jones, Credentialing Mgr, as its authorized official.

NPPES Registry Identity

NPI1124116876
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRESENCE SAINT JOSEPH HOSPITAL
Location Address2900 NORTH LAKESHORE DRIVE, 1ST FLOOR CLINICChicago, IL 60657-0000
Mailing Address1000 Remington Boulevard, Suite 100Bolingbrook, IL 60440-0000 · (630) 914-2417 · Fax (630) 914-2499
Fax(773) 665-3498
Organization SubpartNo
Authorized OfficialMelvonne Wickliffe-jonesCredentialing Mgr · (630) 914-2417
Enumeration DateOctober 10, 2006
Last NPPES UpdateApril 11, 2013
NPI 1124116876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedAllergy & ImmunologyTaxonomy 207K00000X
Also ListedDermatologyTaxonomy 207N00000X
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOphthalmologyTaxonomy 207W00000X
Also ListedOtolaryngologyTaxonomy 207Y00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedSurgeryTaxonomy 208600000X
Also ListedUrologyTaxonomy 208800000X
2900 NORTH LAKESHORE DRIVE, Chicago, IL 60657

Other Names 1

Doing Business AsLaboure Outpatient

Other Identifiers 2

Other1632129IL · Bcbs Provider #
Medicare PIN988270

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Accreditation 14D2143888

Presence Saint Joseph Hospital Chicago · Chicago, IL
Active · expires Dec 11, 2027
CLIA Number14D2143888
Laboratory TypeHospital
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorDr. Marsha A. Apushkin
Laboratory Phone(773) 665-3832
Laboratory LocationPresence Saint Joseph Hospital Chicago2900 North Lake Shore Drive, Chicago, IL 60657
CLIA data matches this NPI record on: 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 14D0428853

Presence Saint Joseph Hospital Chicago · Chicago, IL
Active · expires Feb 27, 2027
CLIA Number14D0428853
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Teresita M. Zdunek
Laboratory Phone(773) 665-3000
Laboratory LocationPresence Saint Joseph Hospital Chicago2900 N Lake Shore Drive, 2nd Fl Hospital Bldg, Chicago, IL 60657
CLIA data matches this NPI record on: 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.

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 Presence Saint Joseph Hospital's NPI number?

The NPI number for Presence Saint Joseph Hospital is 1124116876. It was assigned to this organization in the NPPES registry on October 10, 2006. The provider is doing business as Laboure Outpatient.

Where is Presence Saint Joseph Hospital located?

Presence Saint Joseph Hospital is located at 2900 North Lakeshore Drive 1st Floor Clinic, Chicago, IL 60657. The listed phone number is (773) 665-3080.

What is Presence Saint Joseph Hospital's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Presence Saint Joseph 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 Presence Saint Joseph Hospital was last updated on April 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.