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SOUTH SHORE HOSPITAL
NPI 1225479470
Registered Nurse in Chicago, IL

Active since July 16, 2013CLIA 14D0424913 · Accreditation
8012 S CRANDON AVE, CHICAGO, IL 60617(773) 356-5200(773) 768-8154 Get Directions Write a Review

NPPES record last updated: December 31, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Shore Hospital NPPES

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

SOUTH SHORE HOSPITAL (NPI 1225479470) is a healthcare organization registered as a registered nurse in Chicago, Illinois and active in the NPI registry since July 2013. The organization holds an CLIA Accreditation certificate valid through February 8, 2027 and lists Leslie M. Rogers, Administrator, as its authorized official.

NPPES Registry Identity

NPI1225479470
Entity TypeOrganization
Primary Taxonomy163W00000X
Legal Business NameSOUTH SHORE HOSPITAL CORPORATION
Location Address8012 S CRANDON AVEChicago, IL 60617-1124
Mailing Address8012 S Crandon AveChicago, IL 60617-1124 · (773) 356-5200 · Fax (773) 768-8154
Phone(773) 356-5200
Fax(773) 768-8154
Organization SubpartNo
Authorized OfficialLeslie M. RogersAdministrator · (773) 356-5200
Enumeration DateJuly 16, 2013
Last NPPES UpdateDecember 31, 2013
✔ NPI 1225479470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in IL · 041.147476
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Also ListedDietitian, RegisteredTaxonomy 133V00000X · License 164.004009 (IL)
8012 S CRANDON AVE, Chicago, IL 60617
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Other Names 1

Doing Business AsSouth Shore Hospital

Other Identifiers 3

Medicare PIN1053391359IL
Medicaid51204952001IL
Other214641IL · American Association Of Diabetes Educators

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

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 14D0424913

South Shore Hospital Laboratory · Chicago, IL
Active · expires Feb 8, 2027
CLIA Number14D0424913
Laboratory TypeHospital
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. Vera H. Ray
Laboratory Phone(773) 356-5200
Laboratory LocationSouth Shore Hospital Laboratory8012 S Crandon Ave, Chicago, IL 60617
CLIA data matches this NPI record on: Address Name Phone
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.

SOUTH SHORE HOSPITAL CORPORATION
General Acute Care Hospital
8012 S CRANDON AVE, FINANCE DEPARTMENT
CHICAGO, IL 60617
Cook County (773) 356-5312
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
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 1225479470. It was assigned to this organization in the NPPES registry on July 16, 2013. The provider is doing business as South Shore Hospital.

Where is South Shore Hospital Corporation located?

South Shore Hospital Corporation is located at 8012 S Crandon Ave, Chicago, IL 60617. The listed phone number is (773) 356-5200.

What is South Shore Hospital Corporation's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Does South Shore Hospital Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 14D0424913) is associated with this NPI, valid through February 8, 2027. 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 December 31, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.