Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Emergency Room Care Providers, SC

Organization Emergency Medicine Physician · NPI 1417990219

Emergency Room Care Providers, SC is an Emergency Medicine Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006

Practice location Partly verified

Some contact details are missing from the federal record.

Jackson Park Hospital 7531 S Stony Island Ave
Chicago, IL 60649-3954
Phone: (773) 947-7500
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036082409 (IL)

Record details

NPI number1417990219
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pierre Wakim — President · (630) 472-8800
NPI enumeratedJune 13, 2006
Last updated in NPPESJuly 18, 2019
Mailing addressEmergency Room Care Providers, S.C., Dept 4034, Po Box 3065, Oak Brook, IL 60522-3065

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