SAINT ANTHONY HEALTH AFFILIATES – Multi-Specialty Clinic/Center, NPI 1295757771
Multi-Specialty Clinic/Center
Main info
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SAINT ANTHONY HEALTH AFFILIATES
4177 South Archer Avenue
Chicago, IL 606321849
Phone: (773) 254-2222
Fax: (773) 254-8444
Type: Location
1340 S DAMEN AVE
CHICAGO, IL 606081169
Phone: (773) 484-1000
Type: Mailing
4192 S ARCHER AVE
CHICAGO, IL 606321850
Phone: (773) 254-2222
Fax: (773) 484-8444
Type: Location
2001 S CALIFORNIA AVE
CHICAGO, IL 606082486
Phone: (773) 484-4783
Type: Mailing
83, Sherman Lake Road, Crown Point, Essex County, New York, 12928, United States
CROWN POINT, IN 463080083
Phone: (773) 484-4783
Type: Mailing
4177, South Archer Avenue, Brighton Park, Chicago, Lake Township, Cook County, Illinois, 60632, United States
CHICAGO, IL 606321849
Phone: (773) 254-2222
Fax: (773) 254-8444
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-03-31 (797 days ago).
Enrollment records
1
Earliest due date
2024-03-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040518000419 | O | Clinic/Group Practice | IL | 2024-03-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60632)
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