| Organization Name: | SOUTH SHORE HOSPITAL CORPORATION |
| NPI Number: | 1689935397 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIMOTHY ARTHUR CAVENEY (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 8012 S Crandon Ave Chicago |
| State: | IL US |
| Postal Code: | 606171124 |
| Phone Number: | 7733565000 |
| Fax Number: | 7737688154 |
| NPI Enumeration Date: | 05/30/2012 |
| NPI Last Update Date: | 08/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 273R00000X |
| License Number: | 2065105 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Hospital Units |
| Taxonomy Classification: | Psychiatric Unit |
| Taxonomy Specialization: | |
| Taxonomy Definition: | In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians |