# SAINT JOSEPH HOSPITAL

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

## Provider details

- **NPI number:** 1306152988
- **Authorized official:** DR. ROBERTA LUSKIN-HAWK MD (EXECUTIVE VICE PRESIDENT/CEO)
- **Authorized official phone:** (773) 665-3971

## Contact information

- **Practice address:** 2900 N LAKESHORE DRIVE, CHICAGO, IL 60657
- **Practice address phone:** (773) 665-3022
- **Mailing address:** 2900 N LAKESHORE DRIVE, CHICAGO, IL 60657
- **Mailing address phone:** (773) 665-3022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 125.0258675 | IL | Yes |

## Other

- **Enumeration date:** 08/20/2010
- **Last updated:** 08/20/2010