CCN: 140177 NPI: 1497750699 Organization

JACKSON PARK HOSPITAL

7531 S STONY ISLAND AVE
CHICAGO, IL 606493954

Contact Information

Phone 7739477500
Fax 7739477339
Enumeration Date 2005-06-15
Last Updated 2020-01-28

Taxonomies

Code: 273R00000X License State: IL License: 0001115
Code: 282N00000X (Primary) License State: IL License: 0001115

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.378

medicaidRatio 0.6082

uncompensatedCareAmount 1922.4

internsToBedsRatio 0.0767

hhrAdjustment 0.9987

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.378

medicaidRatio 0.6082

uncompensatedCareAmount 1922.4

internsToBedsRatio 0.0767

hhrAdjustment 0.9987

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.35

medicaidRatio 0.4856

uncompensatedCareAmount 1922.4

internsToBedsRatio 0.1287

hhrAdjustment 0.9987

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.35

medicaidRatio 0.4856

uncompensatedCareAmount 1514.14

internsToBedsRatio 0.1287

hhrAdjustment 0.9978

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.35

medicaidRatio 0.4856

uncompensatedCareAmount 1514.14

internsToBedsRatio 0.1209

hhrAdjustment 0.9978

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.35

medicaidRatio 0.4856

uncompensatedCareAmount 1514.14

internsToBedsRatio 0.1209

hhrAdjustment 0.9978

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.302

medicaidRatio 0.4672

uncompensatedCareAmount 1514.14

internsToBedsRatio 0.1245

hhrAdjustment 0.9978

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.302

medicaidRatio 0.4672

uncompensatedCareAmount 1543.73

internsToBedsRatio 0.1245

hhrAdjustment 0.9979

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.302

medicaidRatio 0.4429

uncompensatedCareAmount 1543.73

internsToBedsRatio 0.1098

hhrAdjustment 0.9979

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.302

medicaidRatio 0.4429

uncompensatedCareAmount 1543.73

internsToBedsRatio 0.1098

hhrAdjustment 0.9979

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.257

medicaidRatio 0.4565

uncompensatedCareAmount 1543.73

internsToBedsRatio 0.1098

hhrAdjustment 0.9979

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.257

medicaidRatio 0.4565

uncompensatedCareAmount 871.72

internsToBedsRatio 0.1098

hhrAdjustment 0.9989

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.257

medicaidRatio 0.4565

uncompensatedCareAmount 871.72

internsToBedsRatio 0.1098

hhrAdjustment 0.9989

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.257

medicaidRatio 0.4565

uncompensatedCareAmount 871.72

internsToBedsRatio 0.1098

hhrAdjustment 0.9989

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.257

medicaidRatio 0.4565

uncompensatedCareAmount 871.72

internsToBedsRatio 0.1098

hhrAdjustment 0.9989

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.255

medicaidRatio 0.4301

uncompensatedCareAmount 871.72

internsToBedsRatio 0.1098

hhrAdjustment 0.9989

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.255

medicaidRatio 0.4301

uncompensatedCareAmount 799.9

internsToBedsRatio 0.1098

hhrAdjustment 0.9996

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.255

medicaidRatio 0.4301

uncompensatedCareAmount 799.9

internsToBedsRatio 0.1098

hhrAdjustment 0.9996

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.255

medicaidRatio 0.4301

uncompensatedCareAmount 799.9

internsToBedsRatio 0.1098

hhrAdjustment 0.9996

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.255

medicaidRatio 0.4301

uncompensatedCareAmount 799.9

internsToBedsRatio 0.1098

hhrAdjustment 0.9996

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.234

medicaidRatio 0.4735

uncompensatedCareAmount 799.9

internsToBedsRatio 0.1048

hhrAdjustment 0.9996

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.234

medicaidRatio 0.4735

uncompensatedCareAmount 777.78

internsToBedsRatio 0.1048

hhrAdjustment 0.9994

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.234

medicaidRatio 0.4735

uncompensatedCareAmount 777.78

internsToBedsRatio 0.1048

hhrAdjustment 0.9994

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.273

medicaidRatio 0.5592

uncompensatedCareAmount 778.78

internsToBedsRatio 0.0579

hhrAdjustment 0.9994

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.273

medicaidRatio 0.5592

uncompensatedCareAmount 1333.36

internsToBedsRatio 0.0579

vbpAdjustment 0.9933405656

hhrAdjustment 0.997

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.273

medicaidRatio 0.5592

uncompensatedCareAmount 1333.36

internsToBedsRatio 0.0579

vbpAdjustment 0.9933405656

hhrAdjustment 0.997

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.273

medicaidRatio 0.5592

uncompensatedCareAmount 1333.36

internsToBedsRatio 0.0579

vbpAdjustment 0.9933405656

hhrAdjustment 0.997

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.273

medicaidRatio 0.5592

uncompensatedCareAmount 1333.36

internsToBedsRatio 0.0579

vbpAdjustment 0.9933405656

hhrAdjustment 0.997

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.232

medicaidRatio 0.5621

uncompensatedCareAmount 1333.36

internsToBedsRatio 0.0579

vbpAdjustment 0.9933405656

hhrAdjustment 0.997

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.232

medicaidRatio 0.5621

uncompensatedCareAmount 1895.7

internsToBedsRatio 0.0579

vbpAdjustment 0.997279029

hhrAdjustment 0.9965

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.232

medicaidRatio 0.5621

uncompensatedCareAmount 1895.7

internsToBedsRatio 0.0579

vbpAdjustment 0.997279029

hhrAdjustment 0.9965

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.232

medicaidRatio 0.5621

uncompensatedCareAmount 1895.7

internsToBedsRatio 0.0579

vbpAdjustment 0.997279029

hhrAdjustment 0.9965

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.232

medicaidRatio 0.5621

uncompensatedCareAmount 1895.7

internsToBedsRatio 0.0579

vbpAdjustment 0.997279029

hhrAdjustment 0.9965

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.232

medicaidRatio 0.5621

uncompensatedCareAmount 1895.7

internsToBedsRatio 0.0579

vbpAdjustment 0.997279029

hhrAdjustment 0.9965

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.211

medicaidRatio 0.6101

uncompensatedCareAmount 1895.7

internsToBedsRatio 0.0582

vbpAdjustment 0.997279029

hhrAdjustment 0.9965

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0729

operatingCostToChargeRatio 0.211

medicaidRatio 0.6101

uncompensatedCareAmount 1844.44

internsToBedsRatio 0.0582

vbpAdjustment 1.0045725241

hhrAdjustment 0.9946

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.232

deviceCostToChargeRatio 0.719

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.232

deviceCostToChargeRatio 0.719

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.287

deviceCostToChargeRatio 1.071

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.287

deviceCostToChargeRatio 1.071

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.26

deviceCostToChargeRatio 1.078

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.26

deviceCostToChargeRatio 1.078

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.223

deviceCostToChargeRatio 1.112

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.223

deviceCostToChargeRatio 1.112

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.221

deviceCostToChargeRatio 1.097

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.221

deviceCostToChargeRatio 1.097

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.191

deviceCostToChargeRatio 2.285

specialPaymentIndicator

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.189

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.189

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.184

deviceCostToChargeRatio 0.8

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.184

deviceCostToChargeRatio 0.8

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.159

deviceCostToChargeRatio 0.969

specialPaymentIndicator Y

carrierCode 06102

localityCode 16

JACKSON PARK HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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