1598868077 NPI number — JOHN H. STROGER, JR. HOSPITAL OF COOK COUNTY

Table of content: (NPI 1598868077)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598868077 NPI number — JOHN H. STROGER, JR. HOSPITAL OF COOK COUNTY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JOHN H. STROGER, JR. HOSPITAL OF COOK COUNTY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598868077
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
455 SUNSET RIDGE RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTHFIELD
Provider Business Mailing Address State Name:
IL
Provider Business Mailing Address Postal Code:
60093-2715
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
312-375-3684
Provider Business Mailing Address Fax Number:
847-446-5439

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1901 W HARRISON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHICAGO
Provider Business Practice Location Address State Name:
IL
Provider Business Practice Location Address Postal Code:
60612-3714
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
312-864-5204
Provider Business Practice Location Address Fax Number:
312-864-9782
Provider Enumeration Date:
09/07/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ZAREN
Authorized Official First Name:
HOWARD
Authorized Official Middle Name:
A
Authorized Official Title or Position:
SENIOR ATTENDING SURGEON
Authorized Official Telephone Number:
312-864-5204

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , registered in the state of IL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com