GOTTLIEB MEMORIAL HOSPITAL GERIATRIC PSYCHIATRIC UNIT
NPI 1639271794
Psychiatric Unit in Melrose Park, IL

NPI Status: Active since September 01, 2006

Contact Information

701 W NORTH AVE
MELROSE PARK, IL
ZIP 60160
Phone: (708) 681-3200
Fax: (708) 681-9643

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  • Organization
  • Psychiatric Unit
  • Accepts Insurance

About GOTTLIEB MEMORIAL HOSPITAL GERIATRIC PSYCHIATRIC UNIT

This page provides the complete NPI Profile along with additional information for Gottlieb Memorial Hospital Geriatric Psychiatric Unit, a provider established in Melrose Park, Illinois operating as a Psychiatric Unit. The healthcare provider is registered in the NPI registry with number 1639271794 assigned on September 2006. The practitioner's primary taxonomy code is 273R00000X with license number 0005561 (IL). The provider is registered as an organization and their NPI record was last updated 16 years ago. The provider's other name is Gottlieb Memorial Hospital Geriatric Psychiatric Unit. The authorized official of this NPI record is Ms. Ellyn Chin (Vice President Of Finance)

NPI
1639271794
Provider Legal Name
GOTTLIEB MEMORIAL HOSPITAL
Other Organization Name
GOTTLIEB MEMORIAL HOSPITAL GERIATRIC PSYCHIATRIC UNIT
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
701 W NORTH AVE MELROSE PARK, IL 60160
Location Phone
(708) 681-3200
Location Fax
(708) 681-9643
Mailing Address
701 W NORTH AVE MELROSE PARK, IL 60160
Mailing Phone
(708) 681-3200
Mailing Fax
(708) 681-9643
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-01-2006
Last Update Date
09-15-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatric Unit

Taxonomy Code
273R00000X
Type
Hospital Units
License No.
0005561
License State
IL
Taxonomy Description
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Choice Preferred Bronze PPO? 201 - PPO
  • Blue Choice Preferred Bronze PPO? 701 - PPO
  • Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays - PPO
  • Blue Choice Preferred Gold PPO? 204 - PPO
  • Blue Choice Preferred Gold PPO? 901 - PPO
  • Blue Choice Preferred Gold PPO? Standard - Rx Copays - PPO
  • Blue Choice Preferred Security PPO? 200 - PPO
  • Blue Choice Preferred Silver PPO? 203 - PPO
  • Blue Choice Preferred Silver PPO? 801 - PPO
  • Blue Choice Preferred Silver PPO? Standard - Select Rx Copays - PPO
  • Blue Precision Bronze HMO? 205 - HMO
  • Blue Precision Bronze HMO? 701 - HMO
  • Blue Precision Bronze HMO? Standard - Select Rx Copays - HMO
  • Blue Precision Gold HMO? 207 - HMO
  • Blue Precision Gold HMO? 703 - HMO
  • Blue Precision Gold HMO? Standard - Rx Copays - HMO
  • Blue Precision Silver HMO? 206 - HMO
  • Blue Precision Silver HMO? 704 - HMO
  • Blue Precision Silver HMO? Standard - Select Rx Copays - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 with Rx Copay - HMO
  • Silver 1 - HMO
  • Silver 1 with Rx Copay and Adult Vision Services - HMO
  • Silver 12 with first 4 free PCP or MH visits - HMO
  • Silver 8 - HMO
  • Bronze Classic 4700 (Select) - HMO
  • Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
  • Bronze Classic Standard (Choice) - HMO
  • Bronze Classic Standard (Select) - HMO
  • Gold Classic Standard (Choice) - HMO
  • Gold Classic Standard (Select) - HMO
  • Secure (Choice) - HMO
  • Silver Classic Standard (Choice) - HMO
  • Silver Classic Standard (Select) - HMO
  • Silver Elite Saver Plus Rx Copay (Select) - HMO
  • Silver Simple Diabetes (Choice) - HMO
  • Silver Simple Diabetes (Select) - HMO
  • Silver Simple PCP Saver (Select) - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. ELLYN CHIN

Authorized Official Title
VICE PRESIDENT OF FINANCE
Authorized Official Phone
(708) 681-3200

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
14S008MEDICARE PIN (08)IL 
0005561OTHER (01)ILSTATE LICENSE

Reviews for GOTTLIEB MEMORIAL HOSPITAL GERIATRIC PSYCHIATRIC UNIT

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639271794
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669472718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 4 + 7 + 2 + 7 + 1 + 8 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1639271794 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1851374912 LISA M. SHURBA DIETICIAN REGISTERED
Individual
Dietitian, Registered701 W NORTH AVE DIETARY DEPARTMENT
MELROSE PARK, IL 60160
(708) 681-3200
1235112780 FALGUNI A. PARIKH MNT
Individual
Dietitian, Registered701 W NORTH AVE DIETARY DEPARTMENT
MELROSE PARK, IL 60160
(708) 681-3200
1336181197DR. PETER T JOO M.D.
Individual
Internal Medicine (Adolescent Medicine)701 W NORTH AVE
MELROSE PARK, IL 60160
(708) 681-3200
1306850771 JOHN PAUL SIMS MD
Individual
Anesthesiology701 W NORTH AVE
MELROSE PARK, IL 60160
(708) 681-3202
1427061936RJM PATHOLOGY CONSULTANTS LTD
Organization
Pathology (Clinical Pathology/Laboratory Medicine)701 W NORTH AVE
MELROSE PARK, IL 60160
(877) 861-9294
1366555245GOTTLIEB MEMORIAL HOSPITAL
Organization
Skilled Nursing Facility701 W NORTH AVE
MELROSE PARK, IL 60160
(708) 681-3200
1790898674GOTTLIEB MEMORIAL HOSPITAL
Organization
Dietitian, Registered701 W NORTH AVE
MELROSE PARK, IL 60160
(708) 681-3200
1538238860DR. KAREN CERVENKA M.D.
Individual
Emergency Medicine701 W NORTH AVE
MELROSE PARK, IL 60160
(708) 681-3200
1679643902DR. RAVINDER DHILLON M. D.
Individual
Emergency Medicine701 W NORTH AVE
MELROSE PARK, IL 60160
(708) 681-3200
1659537298DR. SUZANNE THI PHAM M.D.
Individual
Internal Medicine701 W NORTH AVE
MELROSE PARK, IL 60160
(708) 681-3200
1578897369 STEPHANIE ROSEN
Individual
Speech-Language Pathologist701 W NORTH AVE REHAB SERVICES/THERAPY
MELROSE PARK, IL 60160
(708) 681-3200
1225362007 ELISA O SULLIVAN
Individual
Occupational Therapist701 W NORTH AVE REHAB SERVICES/THERAPY
MELROSE PARK, IL 60160
(708) 681-3200
1851625644 PATRICIA BODEN
Individual
Speech-Language Pathologist701 W NORTH AVE REHAB SERVICES/THERAPY
MELROSE PARK, IL 60160
(708) 681-3200
1679718365MRS. COLLEEN DUFOUR MARTIN CRNA
Individual
Nurse Anesthetist, Certified Registered701 W NORTH AVE
MELROSE PARK, IL 60160
(847) 945-4550
1558698340 STEPHANIE M REIBER CRNA
Individual
Nurse Anesthetist, Certified Registered701 W NORTH AVE
MELROSE PARK, IL 60160
(708) 681-3200
1770763252MS. THERESA ANN OLES MSN
Individual
Nurse Anesthetist, Certified Registered701 W NORTH AVE
MELROSE PARK, IL 60160
(708) 681-3200
1831170232GOTTLIEB MEMORIAL HOSPITAL
Organization
General Acute Care Hospital701 W NORTH AVE
MELROSE PARK, IL 60160
(708) 681-3200
1811247976 LISA M HAWKS CRNA
Individual
Nurse Anesthetist, Certified Registered701 W NORTH AVE
MELROSE PARK, IL 60160
(847) 921-9733
1760880900 DANA MARIE MACALUSO CRNA
Individual
Nurse Anesthetist, Certified Registered701 W NORTH AVE
MELROSE PARK, IL 60160
(708) 681-3200
1396128393 AUDREY A LESS CRNA
Individual
Nurse Anesthetist, Certified Registered701 W NORTH AVE
MELROSE PARK, IL 60160
(708) 681-3200

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639271794, enumerated in the NPI registry as an "organization" on September 01, 2006

The provider is located at 701 W North Ave Melrose Park, Il 60160 and the phone number is (708) 681-3200

This medical organization specializes in Psychiatric Unit with taxonomy code 273R00000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Molina. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 01, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.