# ST BERNARD HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Bernard Anesthesia Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629147210
- **Authorized official:** MS. ELIZABETH VAN STRATEN (CEO)
- **Authorized official phone:** (773) 962-4100

## Contact information

- **Practice address:** 326 W 64TH ST, ST. BERNARD HOSPITAL - ANESTHESIA DEPARTMENT, CHICAGO, IL 60621-3114
- **Practice address phone:** (773) 962-4100
- **Mailing address:** 520 E 22ND ST, LOMBARD, IL 60148-6110
- **Mailing address phone:** (630) 874-2542

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 02/03/2010