| Entity Name: | EDWARD HOSPITAL |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Not-for-Profit |
| Status: | Goodstanding |
| Date Formed: | 30 Mar 1984 |
| Company Number: | CORP_53413447 |
| File Number: | 53413447 |
| Type of Business: | Educational, research or scientific |
| Place of Formation: | ILLINOIS |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| F6PUE3WTAAZ3 | 2025-04-23 | 801 S WASHINGTON ST, NAPERVILLE, IL, 60540, 7430, USA | P O BOX 776997, CHICAGO, IL, 60677, USA | |||||||||||||||||||||||||||||||||||||||
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| Congressional District | 11 |
| Activation Date | 2024-05-01 |
| Initial Registration Date | 2024-02-28 |
| Entity Start Date | 1907-01-15 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 622110 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JENNIFER ACKERMAN |
| Role | BILLING & COLLECTION SPECIALIST |
| Address | 801 S WASHINGTON ST NAPERVILLE IL 60540, 801 S WASHINGTON ST, NAPERVILLE, IL, 60164, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JENNIFER ACKERMAN |
| Role | BILLING & COLLECTION SPECIALIST |
| Address | 801 S WASHINGTON ST NAPERVILLE IL 60540, NAPERVILLE, IL, 60164, USA |
| Past Performance | Information not Available |
|---|
| Name and Address | Role | Appointment Date |
|---|---|---|
| SHIVANI BAUTISTA, 4201 WINFIELD RD, WARRENVILLE, 60555, DU PAGE | Agent | 2023-05-05 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| PHARMACY | 054019385 | No data | No data | LICENSED PHARMACY | No data | 2015-06-11 | 2024-01-12 | 2026-03-31 |
| PHARMACY | 054018067 | No data | No data | LICENSED PHARMACY | No data | 2012-12-24 | 2014-02-20 | 2016-03-31 |
| PHARMACY | 054017450 | No data | No data | LICENSED PHARMACY | No data | 2010-05-25 | 2024-01-12 | 2026-03-31 |
| PHARMACY | 093013468 | No data | No data | LICENSED DIVISION V PHARMACY | No data | 2006-01-26 | 2006-01-26 | 2008-03-31 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| ENDEAVOR HEALTH EDWARD HOSPITAL | NFP Assume Name | 2024-05-08 | No data | No data | No data |
| EDWARD HOSPITAL, PART OF ENDEAVOR HEALTH | No data | 2023-12-06 | 2024-05-08 | Voluntary Cancellation | No data |
| EDWARD PHARMACY | No data | 2015-02-26 | 2010-03-10 | Voluntary Cancellation | No data |
| EDWARD EMPLOYEE PHARMACY | No data | 2012-11-27 | 2010-03-10 | Voluntary Cancellation | No data |
| WOMEN'S CENTER FOR HEALTH | No data | 1987-11-10 | 2000-04-11 | Expired | No data |
| Name | Change Date |
|---|---|
| EDWARD HOSPITAL ASSOCIATION | 1992-12-14 |
Date of last update: 13 Jan 2025
