CCN: 140008 NPI: 1831170232 Organization

LOYOLA GOTTLIEB MEMORIAL HOSPITAL

701 W NORTH AVE
MELROSE PARK, IL 601601612

Contact Information

Phone 7086813200
Fax 7084505058
Enumeration Date 2005-11-11
Last Updated 2025-06-02

Taxonomies

Code: 282N00000X (Primary) License State: IL License: 0005561

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.215

medicaidRatio 0.1476

uncompensatedCareAmount 798.8

internsToBedsRatio 0.0196

vbpAdjustment 0.9949126208

hhrAdjustment 0.9936

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.215

medicaidRatio 0.1476

uncompensatedCareAmount 798.8

internsToBedsRatio 0.0196

vbpAdjustment 0.9949126208

hhrAdjustment 0.9936

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.191

medicaidRatio 0.1584

uncompensatedCareAmount 798.8

internsToBedsRatio 0.0206

vbpAdjustment 0.9949126208

hhrAdjustment 0.9936

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.191

medicaidRatio 0.1584

uncompensatedCareAmount 548.62

internsToBedsRatio 0.0206

vbpAdjustment 0.9915227662

hhrAdjustment 0.9893

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.191

medicaidRatio 0.1584

uncompensatedCareAmount 548.62

internsToBedsRatio 0.0206

vbpAdjustment 0.9915227662

hhrAdjustment 0.9893

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.197

medicaidRatio 0.1856

uncompensatedCareAmount 548.62

internsToBedsRatio 0.0224

vbpAdjustment 0.9915227662

hhrAdjustment 0.9893

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.197

medicaidRatio 0.1856

uncompensatedCareAmount 548.62

internsToBedsRatio 0.0221

vbpAdjustment 0.9915227662

hhrAdjustment 0.9893

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.197

medicaidRatio 0.1856

uncompensatedCareAmount 544.07

internsToBedsRatio 0.0221

vbpAdjustment 0.9871179073

hhrAdjustment 0.9991

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.197

medicaidRatio 0.1856

uncompensatedCareAmount 544.07

internsToBedsRatio 0.0221

vbpAdjustment 0.9871179073

hhrAdjustment 0.9991

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.183

medicaidRatio 0.1838

uncompensatedCareAmount 544.07

internsToBedsRatio 0.0218

vbpAdjustment 0.9871179073

hhrAdjustment 0.9991

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.183

medicaidRatio 0.1838

uncompensatedCareAmount 544.07

internsToBedsRatio 0.0211

vbpAdjustment 0.9871179073

hhrAdjustment 0.9991

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.183

medicaidRatio 0.1838

uncompensatedCareAmount 452.99

internsToBedsRatio 0.0211

hhrAdjustment 0.999

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.192

medicaidRatio 0.176

uncompensatedCareAmount 452.99

internsToBedsRatio 0.0214

hhrAdjustment 0.999

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.192

medicaidRatio 0.176

uncompensatedCareAmount 452.99

internsToBedsRatio 0.0214

hhrAdjustment 0.999

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.192

medicaidRatio 0.176

uncompensatedCareAmount 452.99

internsToBedsRatio 0.0214

hhrAdjustment 0.999

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.192

medicaidRatio 0.176

uncompensatedCareAmount 452.99

internsToBedsRatio 0.0194

hhrAdjustment 0.999

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.192

medicaidRatio 0.176

uncompensatedCareAmount 416.71

internsToBedsRatio 0.0194

hhrAdjustment 0.9994

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.192

medicaidRatio 0.176

uncompensatedCareAmount 416.71

internsToBedsRatio 0.0194

hhrAdjustment 0.9994

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.193

medicaidRatio 0.1466

uncompensatedCareAmount 416.71

internsToBedsRatio 0.0186

hhrAdjustment 0.9994

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.193

medicaidRatio 0.1466

uncompensatedCareAmount 416.71

internsToBedsRatio 0.0186

hhrAdjustment 0.9994

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.193

medicaidRatio 0.1466

uncompensatedCareAmount 416.71

internsToBedsRatio 0.0186

hhrAdjustment 0.9994

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.193

medicaidRatio 0.1466

uncompensatedCareAmount 323.72

internsToBedsRatio 0.0186

vbpAdjustment 0.9982838444

hhrAdjustment 0.9982

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.214

medicaidRatio 0.1171

uncompensatedCareAmount 323.72

internsToBedsRatio 0.0218

vbpAdjustment 0.9982838444

hhrAdjustment 0.9982

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.214

medicaidRatio 0.1171

uncompensatedCareAmount 323.72

internsToBedsRatio 0.0215

vbpAdjustment 0.9982838444

hhrAdjustment 0.9982

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.214

medicaidRatio 0.1171

uncompensatedCareAmount 536.31

internsToBedsRatio 0.0215

vbpAdjustment 1.0049257937

hhrAdjustment 0.9947

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.214

medicaidRatio 0.1171

uncompensatedCareAmount 536.31

internsToBedsRatio 0.0215

vbpAdjustment 1.0049257937

hhrAdjustment 0.9947

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.208

medicaidRatio 0.1328

uncompensatedCareAmount 536.31

internsToBedsRatio 0.0137

vbpAdjustment 1.0049257937

hhrAdjustment 0.9947

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.208

medicaidRatio 0.1328

uncompensatedCareAmount 536.31

internsToBedsRatio 0.0137

vbpAdjustment 1.0049257937

hhrAdjustment 0.9947

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.208

medicaidRatio 0.1328

uncompensatedCareAmount 575.26

internsToBedsRatio 0.0137

vbpAdjustment 1.0031098124

hhrAdjustment 0.999

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.208

medicaidRatio 0.1328

uncompensatedCareAmount 575.26

internsToBedsRatio 0.0137

vbpAdjustment 1.0031098124

hhrAdjustment 0.999

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.208

medicaidRatio 0.1328

uncompensatedCareAmount 575.26

internsToBedsRatio 0.0102

vbpAdjustment 1.0031098124

hhrAdjustment 0.999

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.208

medicaidRatio 0.1328

uncompensatedCareAmount 575.26

internsToBedsRatio 0.0102

vbpAdjustment 1.0031098124

hhrAdjustment 0.999

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.216

medicaidRatio 0.17

uncompensatedCareAmount 575.26

internsToBedsRatio 0.0102

vbpAdjustment 1.0031098124

hhrAdjustment 0.999

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.216

medicaidRatio 0.17

uncompensatedCareAmount 401.98

internsToBedsRatio 0.0102

vbpAdjustment 0.9997130838

hhrAdjustment 0.9973

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.216

medicaidRatio 0.17

uncompensatedCareAmount 401.98

internsToBedsRatio 0.0096

vbpAdjustment 0.9997130838

hhrAdjustment 0.9973

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.216

medicaidRatio 0.17

uncompensatedCareAmount 401.98

internsToBedsRatio 0.0096

vbpAdjustment 0.9997130838

hhrAdjustment 0.9973

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 07

caseMixIndex 1.0198

operatingCostToChargeRatio 0.216

medicaidRatio 0.17

uncompensatedCareAmount 401.98

internsToBedsRatio 0.0096

vbpAdjustment 0.9997130838

hhrAdjustment 0.9973

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 16984

providerType 07

operatingCostToChargeRatio 0.157

deviceCostToChargeRatio 0.721

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 07

operatingCostToChargeRatio 0.165

deviceCostToChargeRatio 0.642

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 07

operatingCostToChargeRatio 0.165

deviceCostToChargeRatio 0.642

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 07

operatingCostToChargeRatio 0.178

deviceCostToChargeRatio 0.618

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 07

operatingCostToChargeRatio 0.178

deviceCostToChargeRatio 0.618

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 07

operatingCostToChargeRatio 0.164

deviceCostToChargeRatio 0.594

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 07

operatingCostToChargeRatio 0.164

deviceCostToChargeRatio 0.594

specialPaymentIndicator D

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 07

operatingCostToChargeRatio 0.167

deviceCostToChargeRatio 0.558

specialPaymentIndicator D

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 07

operatingCostToChargeRatio 0.167

deviceCostToChargeRatio 0.558

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 07

operatingCostToChargeRatio 0.155

deviceCostToChargeRatio 0.71

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 07

operatingCostToChargeRatio 0.155

deviceCostToChargeRatio 0.71

specialPaymentIndicator D

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 07

operatingCostToChargeRatio 0.148

deviceCostToChargeRatio 0.498

specialPaymentIndicator D

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 07

operatingCostToChargeRatio 0.148

deviceCostToChargeRatio 0.498

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 07

operatingCostToChargeRatio 0.148

deviceCostToChargeRatio 0.515

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 07

operatingCostToChargeRatio 0.148

deviceCostToChargeRatio 0.515

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 07

operatingCostToChargeRatio 0.153

deviceCostToChargeRatio 0.555

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 07

operatingCostToChargeRatio 0.153

deviceCostToChargeRatio 0.555

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 07

operatingCostToChargeRatio 0.15

deviceCostToChargeRatio 0.486

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

LOYOLA GOTTLIEB MEMORIAL HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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