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Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

St. Mary of Providence

Intellectual Disabilities Intermediate Care Facility in Chicago, IL · enumerated 2008 · authorized official Rita Butler, Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1588842470

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Registry record

Entity type Organization (Type 2)
Legal business name St. Mary of Providence
Other name <Unavail>
Parent organization St. Mary of Providence
Practice address 4200 N Austin Ave, Chicago, IL, 60634
Phone (773) 545-8300
Fax (773) 545-2984
Enumeration date Feb 4, 2008
Last updated in NPPES Feb 4, 2008

Taxonomy & classification

315P00000X Intellectual Disabilities Intermediate Care Facility Nursing & Custodial Care Facilities · License 0033761 (IL) Primary

Authorized official

Name Rita Butler
Title Director
Phone (773) 545-8300

Other identifiers

Identifier Type State Issuer
14G191 Medicaid IL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is St. Mary of Providence located?
The practice location on file with NPPES is in Chicago, IL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-02-04. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-02-04.