Organization
LORETTO HOSPITAL
Active
Other names
Loretto Hospital Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
T ANEWISHKI (PRESIDENT / CEO)
(773) 854-5000
Entity
Organization
Contact information
Practice address
645 S CENTRAL AVE, CHICAGO, IL 60644-5059
(773) 854-5430
Mailing address
645 S CENTRAL AVE, CHICAGO, IL 60644-5059
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
207N00000X
Dermatology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208800000X
Urology Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
213E00000X
Podiatrist
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
282N00000X
General Acute Care Hospital
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
12/26/2018
Last updated
10/09/2025
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