# JOHN STROGER HOSIPTAL OF COOK COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457584401
- **Authorized official:** DR. SUJA MATHEW MD (PROGRAM DIRECTOR)
- **Authorized official phone:** (312) 864-0394

## Contact information

- **Practice address:** 903 S ASHLAND AVE APT 908B, CHICAGO, IL 60607-4189
- **Practice address phone:** (312) 265-6306
- **Mailing address:** 903 S ASHLAND AVE APT 908B, CHICAGO, IL 60607-4189
- **Mailing address phone:** (312) 265-6306

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 125054020 | IL | Yes |

## Other

- **Enumeration date:** 08/25/2009
- **Last updated:** 08/25/2009