| Entity Name: | GOTTLIEB COMMUNITY HEALTH SERVICES CORPORATION |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Not-for-Profit |
| Status: | Goodstanding |
| Date Formed: | 13 Nov 1984 |
| Company Number: | CORP_53650252 |
| File Number: | 53650252 |
| Type of Business: | Not for Profit |
| Place of Formation: | ILLINOIS |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| N4KRBYC9G7L7 | 2024-07-25 | 701 WEST NORTH AVENUE, MELROSE PARK, IL, 60160, 1612, USA | 2160 SOUTH 1ST AVENUE, MELROSE PARK, IL, 60153, 3328, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| URL | https://macnealhospital.org |
| Congressional District | 04 |
| State/Country of Incorporation | IL, USA |
| Activation Date | 2023-07-28 |
| Initial Registration Date | 2020-08-27 |
| Entity Start Date | 1984-11-13 |
| Fiscal Year End Close Date | Jun 30 |
Service Classifications
| NAICS Codes | 621420, 621498, 622110, 622210, 622310, 623110 |
| Product and Service Codes | Q201, Q301, Q401, Q403, Q502, Q505, Q506, Q507, Q508, Q510, Q511, Q513, Q514, Q515, Q516, Q517, Q518, Q519, Q520, Q521, Q522, Q523, Q524, Q525, Q526, Q527 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | EILEEN MATZEK |
| Role | REGIONAL CIO |
| Address | 2160 S. 1ST AVE., MAYWOOD, IL, 60153, 3328, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MELISSA LUKASICK |
| Role | CFO ILLINOIS REGION |
| Address | 2160 S. 1ST AVE., MAYWOOD, IL, 60153, 3328, USA |
| Title | ALTERNATE POC |
| Name | JAMES ROCSKA |
| Role | ACCOUNTANT SR |
| Address | 2160 S. 1ST AVE., MAYWOOD, IL, 60126, 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 | 2014-10-24 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| PHARMACY | 054021777 | No data | No data | LICENSED PHARMACY | No data | 2021-09-14 | 2024-02-03 | 2026-03-31 |
| PHARMACY | 054020808 | No data | No data | LICENSED PHARMACY | No data | 2020-03-04 | 2024-03-15 | 2026-03-31 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| MACNEAL OUTPATIENT PHARMACY | NFP Assume Name | 2020-07-07 | No data | No data | No data |
| MACNEAL HOSPITAL SNF | NFP Assume Name | 2018-09-06 | No data | No data | No data |
| MACNEAL HOSPITAL | No data | 2018-03-08 | 2021-02-09 | Voluntary Cancellation | No data |
| MACNEAL MEDICAL GROUP | NFP Assume Name | 2018-03-01 | No data | No data | No data |
Date of last update: 23 Jan 2025
