| Entity Name: | ALEXIAN BROTHERS MEDICAL CENTER |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Not-for-Profit |
| Status: | Goodstanding |
| Date Formed: | 02 Aug 1971 |
| Company Number: | CORP_49872267 |
| File Number: | 49872267 |
| Type of Business: | Not for Profit |
| Place of Formation: | TEXAS |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||
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| LPUDRM9XKMC4 | 2024-09-10 | 800 BIESTERFIELD RD, ELK GROVE VILLAGE, IL, 60007, 3361, USA | 800 BIESTERFIELD RD, ELK GROVE VILLAGE, IL, 60007, 3361, USA | |||||||||||||||||||||||||||||||||||||||||||||||
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| Congressional District | 08 |
| State/Country of Incorporation | IL, USA |
| Activation Date | 2023-09-13 |
| Initial Registration Date | 2006-12-04 |
| Entity Start Date | 1971-04-20 |
| Fiscal Year End Close Date | Jun 30 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JENNIFER HUETTL |
| Role | MGR-ACCOUNTING AND REPORTING • MWF GRANTS RESEARCH |
| Address | 1345 PHILOMENA ST, AUSTIN, TX, 78723, 3210, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | ROB MADSEN |
| Role | DIR-ACCOUNTING AND REPORTING • MWF GRANTS RESEARCH |
| Address | 1345 PHILOMENA ST, AUSTIN, TX, 78723, 3210, USA |
| Title | ALTERNATE POC |
| Name | SHAWNA SWIER |
| Address | 1345 PHILOMENA ST, AUSTIN, TX, 78723, USA |
| Past Performance | Information not Available |
|---|
| Name and Address | Role | Appointment Date |
|---|---|---|
| C T CORPORATION SYSTEM, 208 SO LASALLE ST, SUITE 814, CHICAGO, 60604, COOK-NOT IN CITY OF CHICAGO | Agent | 1988-06-27 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| PHARMACY | 054017193 | No data | No data | LICENSED PHARMACY | No data | 2010-02-11 | 2024-03-28 | 2026-03-31 |
| PHARMACY | 054017177 | No data | No data | LICENSED PHARMACY | No data | 2010-02-09 | 2024-01-10 | 2026-03-31 |
| PHARMACY | 059003468 | No data | No data | LICENSED DIVISION III PHARMACY | No data | 1997-01-01 | 2008-01-10 | 2010-03-31 |
| PHARMACY | 093003468 | No data | No data | LICENSED DIVISION V PHARMACY | No data | 1997-01-01 | 2008-01-10 | 2010-03-31 |
| SOCIAL WORKER | 159000183 | No data | No data | REGISTERED SOCIAL WORKER CE SPONSOR | No data | 1992-04-07 | 2003-11-10 | 2005-11-30 |
| PODIATRY | 151000117 | No data | No data | PODIATRY CONTINUING EDUCATION SPONSOR | No data | 1991-12-30 | 2017-01-30 | 2018-01-31 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| ASCENSION AT HOME ILLINOIS | NFP Assume Name | 2022-06-21 | No data | No data | No data |
| ASCENSION AT HOME ILLINOIS - NORTHWEST | NFP Assume Name | 2022-05-23 | No data | No data | No data |
| ASCENSION ALEXIAN BROTHERS HOSPICE | NFP Assume Name | 2022-05-23 | No data | No data | No data |
| ASCENSION ALEXIAN BROTHERS | NFP Assume Name | 2022-03-08 | No data | No data | No data |
| ASCENSION ALEXIAN BROTHERS REHABILITATION HOSPITAL | NFP Assume Name | 2022-03-08 | No data | No data | No data |
| AMITA HEALTH HOME CARE NORTHWEST | NFP Assume Name | 2020-06-15 | No data | No data | No data |
| AMITA HEALTH ALEXIAN BROTHERS REHABILITATION HOSPITAL, ELK GROVE VILLAGE, IN PARTNERSHIP WITH REHABILITATION INSTITUTE OF CHICAGO | NFP Assume Name | 2015-10-15 | No data | No data | No data |
| AMITA HEALTH ALEXIAN BROTHERS MEDICAL CENTER, ELK GROVE VILLAGE | NFP Assume Name | 2015-10-08 | No data | No data | No data |
| ALEXIAN BROTHERS HOSPICE | NFP Assume Name | 2010-05-20 | No data | No data | No data |
| ALEXIAN BROTHERS MEDICAL CENTER FOUNDATION | No data | 1994-09-16 | 2002-06-14 | Voluntary Cancellation | No data |
| Name | Change Date |
|---|---|
| ALEXIAN BROTHERS MEDICAL CENTER, INC. | 2001-06-05 |
Date of last update: 16 Jan 2025
