# SAINT JOSEPH HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053612275
- **Authorized official:** AHMAD ALWAKKAF (MD)
- **Authorized official phone:** (773) 715-1934

## Contact information

- **Practice address:** 2900 N. LAKESHORE, CHICAGO, IL 60614
- **Practice address phone:** (773) 665-3000
- **Mailing address:** 2828 N CAMBRIDGE AVE APT 406, CHICAGO, IL 60657-6051
- **Mailing address phone:** (773) 715-1934

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 125058676 | IL | Yes |

## Other

- **Enumeration date:** 11/04/2010
- **Last updated:** 11/04/2010