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JACKSON PARK HOSPITAL
NPI 1740567312
General Acute Care Hospital in Chicago, IL

Active since November 10, 2011
1625 E 75TH ST, 1ST FLOOR, CHICAGO, IL 60649(773) 947-7500 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jackson Park Hospital NPPES

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

JACKSON PARK HOSPITAL (NPI 1740567312) is a healthcare organization registered as a general acute care hospital in Chicago, Illinois and active in the NPI registry since November 2011. The organization lists Ruksana Nazneen, Program Director, as its authorized official.

NPPES Registry Identity

NPI1740567312
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameJACKSON PARK HOSPITAL
Location Address1625 E 75TH ST, 1ST FLOORChicago, IL 60649-3603
Mailing Address1625 E 75th St, 1st FloorChicago, IL 60649-3603 · (773) 947-7500
Phone(773) 947-7500
Organization SubpartNo
Authorized OfficialRuksana NazneenProgram Director · (773) 947-7500
Enumeration DateNovember 10, 2011
Last NPPES UpdateJanuary 28, 2020
✔ NPI 1740567312 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 · 125.060628
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.
1625 E 75TH ST, Chicago, IL 60649
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Other Providers at the Same Location NPPES 16

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

DR. RORISANG PHEKU MOROBE MD
Family Medicine
1625 E 75TH ST
CHICAGO, IL 60649
Cook County (773) 947-7313
THAW HAN MD
Family Medicine
1625 E 75TH ST
CHICAGO, IL 60649
Cook County (773) 947-7310
RUKSANA S NAZNEEN M. D.
Family Medicine
1625 E 75TH ST
CHICAGO, IL 60649
Cook County (773) 947-7310
OMOVAUDO DIVINE OMO-EBOH MD
Family Medicine
1625 E 75TH ST
CHICAGO, IL 60649
Cook County (773) 947-7313
CATHERINE NJENGA MD
Family Medicine
1625 E 75TH ST
CHICAGO, IL 60649
Cook County (773) 947-7313
FRIEDELL CLINIC, S. C.
Family Medicine
1625 E 75TH ST
CHICAGO, IL 60649
Cook County (773) 947-2828
DR. LAKSHMI DODDA M. D.
Family Medicine
1625 E 75TH ST, FIRST FLOOR
CHICAGO, IL 60649
Cook County (773) 947-7314
GAZI MOIN AHMED SHAIK MD
Family Medicine
1625 E 75TH ST
CHICAGO, IL 60649
Cook County (773) 947-7310

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 Jackson Park Hospital's NPI number?

The NPI number for Jackson Park Hospital is 1740567312. It was assigned to this organization in the NPPES registry on November 10, 2011.

Where is Jackson Park Hospital located?

Jackson Park Hospital is located at 1625 E 75th St 1st Floor, Chicago, IL 60649. The listed phone number is (773) 947-7500.

What is Jackson Park Hospital's specialty?

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

When was this NPI record last updated?

The NPPES record for Jackson Park Hospital was last updated on January 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.