| Entity Name: | THOREK MEMORIAL HOSPITAL |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Not-for-Profit |
| Status: | Goodstanding |
| Date Formed: | 30 Dec 1937 |
| Company Number: | CORP_25469542 |
| File Number: | 25469542 |
| Address | 850 W IRVING PARK RD 1, CHICAGO, IL, 60613 |
| Place of Formation: | ILLINOIS |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PXLKUMML7NP1 | 2024-12-07 | 850 W IRVING PARK RD, CHICAGO, IL, 60613, 3038, USA | 850 W IRVING PK RD STE 306, CHICAGO, IL, 60613, USA | |||||||||||||||||||||||||||||||||||||||||||||||
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| URL | www.thorek.org |
| Division Name | THOREK MEMORIAL HOSPITAL |
| Congressional District | 09 |
| State/Country of Incorporation | IL, USA |
| Activation Date | 2023-12-12 |
| Initial Registration Date | 2018-09-06 |
| Entity Start Date | 1937-12-30 |
| Fiscal Year End Close Date | Jun 30 |
Service Classifications
| NAICS Codes | 622110 |
| Product and Service Codes | Q201 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | SORINEL BRANZAN |
| Role | MR |
| Address | 850 W. IRVING PARK ROAD, CHICAGO, IL, 60613, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | DAVID NOVICK |
| Role | MR |
| Address | 850 W. IRVING PARK ROAD, CHICAGO, IL, 60613, USA |
| Past Performance | Information not Available |
|---|
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THOREK HOSPITAL AND MEDICAL CENTER GROUP MEDICAL AND DENTAL PLAN | 2012 | 366000085 | 2013-07-30 | THOREK HOSPITAL AND MEDICAL CENTER | 185 | |||||||||||||||||||||||||||||||||||||||
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| Active participants | 189 |
| Retired or separated participants receiving benefits | 2 |
Signature of
| Role | Plan administrator |
| Date | 2013-07-30 |
| Name of individual signing | EDWARD BUDD |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-07-30 |
| Name of individual signing | EDWARD BUDD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 515 |
| Effective date of plan | 2004-01-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 7735256780 |
| Plan sponsor’s mailing address | 850 W. IRVING PARK ROAD, CHICAGO, IL, 60613 |
| Plan sponsor’s address | 850 W. IRVING PARK ROAD, CHICAGO, IL, 60613 |
Number of participants as of the end of the plan year
| Active participants | 283 |
Signature of
| Role | Plan administrator |
| Date | 2013-07-30 |
| Name of individual signing | EDWARD BUDD |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2013-07-30 |
| Name of individual signing | EDWARD BUDD |
| Valid signature | Filed with authorized/valid electronic signature |
| Name and Address | Role | Appointment Date |
|---|---|---|
| EDWARD BUDD, 850 W IRVING PARK ROAD 306, CHICAGO, 60613, COOK-NOT IN CITY OF CHICAGO | Agent | 2011-11-08 |
| Name and Address | Role | Account Number |
|---|---|---|
| Bonnie L Phipps | Treasurer | 6764 |
| Name and Address | Role | Account Number |
|---|---|---|
| Robert J. Baudino, Jr. | Director | 6764 |
| James E. Nugent | Director | 6764 |
| Manjeet Chawla | Director | 6764 |
| Name and Address | Role | Account Number |
|---|---|---|
| Bhagwan Jain | Secretary | 6764 |
| Name and Address | Role | Account Number |
|---|---|---|
| Peter N. Kamberos | Principal officer | 6764 |
| Name and Address | Role | Account Number |
|---|---|---|
| EDWARD BUDD | President | 6764 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| BUSINESS LICENSE | 2204275 | Issued | 4404 | Regulated Business License | 232 - Operation of General Medical and Surgical Hospitals | 2024-05-10 | 2024-06-16 | 2026-06-15 |
| BUSINESS LICENSE | 2807602 | Issued | 1006 | Retail Food Establishment | 775 - Retail Sales of Perishable Foods | 2024-05-10 | 2024-06-16 | 2026-06-15 |
| BUSINESS LICENSE | 2807601 | Issued | 4404 | Regulated Business License | 232 - Operation of General Medical and Surgical Hospitals | 2024-05-10 | 2024-06-16 | 2026-06-15 |
| BUSINESS LICENSE | 15769 | Issued | 1006 | Retail Food Establishment | 775 - Retail Sales of Perishable Foods | 2024-05-10 | 2024-06-16 | 2026-06-15 |
| PHARMACY | 054021425 | No data | No data | LICENSED PHARMACY | No data | 2020-02-04 | 2024-01-25 | 2026-03-31 |
| BUSINESS LICENSE | 15771 | Cancelled | 1375 | Hospital | No data | 2012-06-07 | 2012-06-16 | 2014-06-15 |
| BUSINESS LICENSE | 15770 | Issued | 1010 | Limited Business License | No data | 2005-08-09 | 2005-08-16 | 2006-08-15 |
| Inspection ID | Inspection Type | Inspection Date | License | Facility Type | Address | Risk | Results |
|---|---|---|---|---|---|---|---|
| 2603231 | Canvass | 2024-09-20 | 2204275 | Restaurant | 850 W IRVING PARK RD, CHICAGO, IL, 60613 | Risk 1 (High) | Pass w/ Conditions |
| 2603220 | Canvass | 2024-09-20 | 15769 | Restaurant | 850 W IRVING PARK RD, CHICAGO, IL, 60613 | Risk 1 (High) | Pass w/ Conditions |
| 2585697 | Canvass Re-Inspection | 2023-11-24 | 15769 | Restaurant | 850 W IRVING PARK RD, CHICAGO, IL, 60613 | Risk 1 (High) | Pass w/ Conditions |
| 2585141 | Canvass | 2023-11-14 | 2204275 | Restaurant | 850 W IRVING PARK RD, CHICAGO, IL, 60613 | Risk 1 (High) | Pass w/ Conditions |
| 2585117 | Canvass | 2023-11-14 | 15769 | Restaurant | 850 W IRVING PARK RD, CHICAGO, IL, 60613 | Risk 1 (High) | Pass w/ Conditions |
| 2559756 | Canvass | 2022-06-23 | 15769 | Restaurant | 850 W IRVING PARK RD, CHICAGO, IL, 60613 | Risk 1 (High) | Pass |
| 2559770 | Canvass | 2022-06-23 | 2204275 | Restaurant | 850 W IRVING PARK RD, CHICAGO, IL, 60613 | Risk 1 (High) | Pass |
| 2528954 | Canvass | 2021-09-02 | 2693986 | Hospital | 5025 N PAULINA ST, CHICAGO, IL, 60640 | Risk 1 (High) | Out of Business |
| 2523953 | Canvass | 2021-08-12 | 15769 | Restaurant | 850 W IRVING PARK RD, CHICAGO, IL, 60613 | Risk 1 (High) | Pass w/ Conditions |
| 2453957 | Canvass | 2020-10-28 | 2204275 | Restaurant | 850 W IRVING PARK RD, CHICAGO, IL, 60613 | Risk 1 (High) | Pass |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| ANDERSONVILLE SUPPORTIVE LIVING | NFP Assume Name | 2024-03-05 | No data | No data | No data |
| THOREK RETIREMENT COMMUNITY | NFP Assume Name | 2020-12-02 | No data | No data | No data |
| THOREK MEMORIAL HOSPITAL - ANDERSONVILLE | NFP Assume Name | 2020-11-30 | No data | No data | No data |
| CHICAGO AVENUE MEDICAL CENTER | NFP Assume Name | 2009-12-28 | No data | No data | No data |
| Name | Change Date |
|---|---|
| THOREK HOSPITAL AND MEDICAL CENTER | 2005-07-27 |
Date of last update: 13 Jan 2025
