# JACKSON PARK HOSPITAL FOUNDATION

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

## Provider details

- **NPI number:** 1497750699
- **Authorized official:** MR. MERRITT J. HASBROUCK (PRESIDENT)
- **Authorized official phone:** (773) 947-7500

## Contact information

- **Practice address:** 7531 S STONY ISLAND AVE, CHICAGO, IL 60649-3954
- **Practice address phone:** (773) 947-7500
- **Practice address fax:** (773) 947-7339
- **Mailing address:** 7531 S STONY ISLAND AVE, CHICAGO, IL 60649-3954
- **Mailing address phone:** (773) 947-7500
- **Mailing address fax:** (773) 947-7339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273R00000X | Psychiatric Hospital Unit | 0001115 | IL | — |
| 282N00000X | General Acute Care Hospital | 0001115 | IL | Yes |

## Other

- **Enumeration date:** 06/15/2005
- **Last updated:** 01/28/2020