Organization
SAINT JOSEPH HOSPITAL
Active
Other names
Lakeview Outpatient Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY KAMINSKI (NURSING SUPERVISOR)
(773) 528-1188
Entity
Organization
Contact information
Practice address
2849 NORTH CLARK STREET, CHICAGO, IL 60657
(773) 528-1188
(773) 388-1753
Mailing address
2849 NORTH CLARK STREET, CHICAGO, IL 60657
(773) 528-1188
(773) 388-1753
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1632129
BCBS PROVIDER #
IL
Enumeration date
10/03/2006
Last updated
09/11/2025
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